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Organization

ELEVATEMIND, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSLYN KOLORAS PSY.D (CO-OWNER)
(717) 632-8400
Entity
Organization

Contact information

Practice address
100 W EISENHOWER DR STE A, HANOVER, PA 17331-1142
(717) 632-8400
(717) 632-9300
Mailing address
100 W EISENHOWER DR STE A, HANOVER, PA 17331-1142
(717) 632-8400
(717) 632-9300

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
103T00000X
Psychologist
103TH0004X
Health Psychologist
103TP2701X
Group Psychotherapy Psychologist
Primary

Other

Enumeration date
05/02/2024
Last updated
05/18/2024
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