Individual
ALISON LORRAINE FENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
HC 2 BOX 417, BRODHEADSVILLE, PA 18322-9622
(570) 350-3463
Mailing address
HC 2 BOX 417, BRODHEADSVILLE, PA 18322-9622
(570) 350-3463
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00426500
NJ
Other
Enumeration date
12/11/2011
Last updated
12/11/2011
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