Individual
ALISE MAISEY SHADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAPC
Contact information
Practice address
628 TWIN PONDS RD, BREINIGSVILLE, PA 18031-1843
(484) 263-0197
Mailing address
628 TWIN PONDS RD, BREINIGSVILLE, PA 18031-1843
(484) 263-0197
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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