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Individual

MS. BRENDA DECORTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
68 HIMES RD, CLARION, PA 16214-4702
(814) 226-9810
(814) 226-0205
Mailing address
4598 S MECHANICSVILLE RD, CLARION, PA 16214-4726
(814) 764-3821
(814) 226-0205

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC000505
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001526014
KEYSTONE WEST HIGHMARK
PA
01
533590
VALUE OPTIONS
PA
Enumeration date
03/18/2006
Last updated
02/11/2010
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