Individual
ANJELIQUE GORBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NCC
Contact information
Practice address
705 12TH ST, ALTOONA, PA 16602-2419
(814) 944-9970
Mailing address
1310 VALLEY VIEW BLVD, ALTOONA, PA 16602-6080
(814) 944-9970
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC014455
PA
101YP2500X
Professional Counselor
PC014455
PA
Other
Enumeration date
05/10/2022
Last updated
05/26/2022
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