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NPI 1932397676

NPI 1932397676 : JUNE ELEANOR BRICKER LPC : LEWISTOWN, PA

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General NPI Number Information
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    NPI Number           |    1932397676
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    Entity Type          |    Individual 
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    Provider Name        |    JUNE ELEANOR BRICKER LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/09/2007
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    Last Update Date     |    10/09/2007
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Provider Practice Location Address
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    Address Line         |    24 N MAIN ST 
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    City                 |    LEWISTOWN
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    State                |    PA
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    Zip                  |    17044-1745
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    Country              |    US
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    Telephone            |    717-242-3070
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    Fax                  |    717-248-4424
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Provider Business Mailing Address
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    Address Line         |    RR 2 BOX 427 
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    City                 |    MIFFLINTOWN
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    State                |    PA
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    Zip                  |    17059-9641
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    Country              |    US
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    Telephone            |    717-535-5416
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    PC001981
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    License Number State |    PA
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