| Erica Boncella Lpc | |
|
3800 W 12th St Ste 5 Erie PA 16505-3380 | |
| (814) 400-4021 | |
| Not Available |
| Full Name | Erica Boncella Lpc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3800 W 12th St Ste 5, Erie, Pennsylvania |
| Authorized Official Name and Position | Erica Lyn Boncella (LPC) |
| Authorized Official Contact | 8144004021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erica Boncella Lpc 3800 W 12th St Ste 5 Erie PA 16505-3380 Ph: (814) 400-4021 | Erica Boncella Lpc 3800 W 12th St Ste 5 Erie PA 16505-3380 Ph: (814) 400-4021 |
| NPI Number | 1861235103 |
|---|---|
| Provider Enumeration Date | 06/14/2024 |
| Last Update Date | 06/14/2024 |
| Certification Date | 06/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861235103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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