Individual
ELAINE BLACK TIMKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
113D NORTH BROAD STREET, GROVE CITY, PA 16127
(724) 992-2244
Mailing address
104 MACRAE DR, GROVE CITY, PA 16127-4228
(724) 992-2244
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC012230
PA
Other
Enumeration date
03/17/2020
Last updated
02/03/2021
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