| Willow Haven Counseling Llc | |
|
1714 Main St Blakely PA 18447-1362 | |
| (814) 232-7112 | |
| Not Available |
| Full Name | Willow Haven Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1714 Main St, Blakely, Pennsylvania |
| Authorized Official Name and Position | Tracy Jensen (OWNER AND LPC) |
| Authorized Official Contact | 8142327112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Haven Counseling Llc 429 Hemlock St Jermyn PA 18433-1205 Ph: (814) 232-7112 | Willow Haven Counseling Llc 1714 Main St Blakely PA 18447-1362 Ph: (814) 232-7112 |
| NPI Number | 1588404099 |
|---|---|
| Provider Enumeration Date | 05/31/2024 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588404099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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