Individual
MISS JESSICA C PRUTSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 FORESTVIEW AVE, ELKLAND, PA 16920-1403
(814) 258-5117
Mailing address
40 W WELLSBORO ST, MANSFIELD, PA 16933-1411
(570) 662-1945
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC016293
PA
Other
Enumeration date
04/20/2021
Last updated
01/17/2024
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