Individual
ADRIA JEAN CODISPOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11676 PERRY HWY STE 2100, WEXFORD, PA 15090-7203
(724) 934-7722
Mailing address
111 PINEVIEW RD, BADEN, PA 15005-9667
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33434286
DRIVERSLICENSE
PA
Enumeration date
01/29/2026
Last updated
01/29/2026
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