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Individual

ERICA JEAN STATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3576 DESIRE RD, REYNOLDSVILLE, PA 15851-4714
(814) 201-1529
Mailing address
3576 DESIRE RD, REYNOLDSVILLE, PA 15851-4714
(814) 201-1529

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC011217
PA

Other

Enumeration date
04/01/2019
Last updated
12/21/2024
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