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Organization

LIGONIER VALLEY LEARNING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. REBECCA A FAULK M.ED.,CRC,LPC (DIRECTOR)
(724) 238-0355
Entity
Organization

Contact information

Practice address
117 JUNIPER LN, LIGONIER, PA 15658-9727
(724) 238-0355
(724) 238-0352
Mailing address
117 JUNIPER LN, LIGONIER, PA 15658-9727
(724) 238-0355
(724) 238-0352

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000733
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1001348580007
PA
Enumeration date
08/21/2013
Last updated
08/21/2013
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