Individual
MRS. AMANDA MUSHRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
18278 TECHNOLOGY DR, MEADVILLE, PA 16335-8380
(814) 332-0095
Mailing address
637 LORD ST, MEADVILLE, PA 16335-1713
(814) 673-3823
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC007341
PA
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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