MEDICARE: JANICE AMARAL LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PC008359	PA

General Provider Information

NPI Number	:	1548545023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE AMARAL LPC

Provider Business Mailing Address
First Line	:	560 COUNTESS DR
Second Line	:
City	:	YARDLEY
State	:	PA
Zip	:	19067-4616
Country	:	US
Telephone Number	:	267-566-3568
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 S DELAWARE AVE
Second Line	:	SUITE 101B
City	:	YARDLEY
State	:	PA
Zip	:	19067-1524
Country	:	US
Telephone Number	:	267-566-3568
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2011
Last Update Date	:	09/25/2015

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