Individual
MS. JAMIE VIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4918 LOCUST LN, HARRISBURG, PA 17109-4519
(717) 671-9610
(717) 671-9680
Mailing address
200 N 7TH ST, LEBANON, PA 17046-5040
(717) 272-5464
(717) 273-1416
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
PS017547
PA
Other
Enumeration date
09/21/2011
Last updated
03/04/2014
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