Organization
LIBERTY LANE COUNSELING LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE DUGAN (GENERAL PARTNER)
(215) 435-7142
Entity
Organization
Contact information
Practice address
4949 LIBERTY LN STE 160, ALLENTOWN, PA 18106-9059
(484) 245-2115
Mailing address
253 DANIELLE DR, HARLEYSVILLE, PA 19438-1943
(484) 245-2115
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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