Individual
CHEYENNE BROOKE KOVACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
353 N DUFFY RD, BUTLER, PA 16001-1138
(878) 271-6542
Mailing address
802 PROSPECT ST, BRACKENRIDGE, PA 15014-1112
(814) 691-0912
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC012808
PA
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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