Individual
DEBRA L KOHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
945 SOUTH AVE, CUSTER CITY, PA 16725-0000
(814) 817-1400
Mailing address
335 BOLIVAR DR, BRADFORD, PA 16701-3133
(814) 817-1400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC004904
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC004904
BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
PA
Enumeration date
03/01/2021
Last updated
03/01/2021
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