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Individual

CATHERINE V BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LPCMH

Contact information

Practice address
2256 NEW DANVILLE PIKE, LANCASTER, PA 17603-9666
(484) 643-9568
Mailing address
2256 NEW DANVILLE PIKE, LANCASTER, PA 17603-9666
(484) 643-9568

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC005941
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1032203230001
PA
Enumeration date
10/03/2007
Last updated
03/07/2021
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