Individual
COLETTE L BONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
919 GODFREY RD, LAKE CITY, PA 16423-2110
(814) 722-7382
Mailing address
919 GODFREY RD, LAKE CITY, PA 16423-2110
(814) 722-7382
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC012320
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC012320
LPC
PA
Enumeration date
10/13/2020
Last updated
10/13/2020
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