Individual
CHARITY ELIZABETH GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
176 W ADAMS ST, COCHRANTON, PA 16314-8659
(814) 795-1424
Mailing address
176 W ADAMS ST, PO BOX 622, COCHRANTON, PA 16314-8659
(814) 795-1424
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC013963
PA
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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