person
Brenda Daugherty-shrivastava
Professional Counselor in Clarion, Pennsylvania
NPI 1104156157

Brenda Daugherty-shrivastava is a Professional Counselor based in Sharon, PA and is specialized in Professional. Brenda Daugherty-shrivastava practices in Clarion, PA. The NPI Number for Brenda Daugherty-shrivastava is 1104156157 and holds a License No. PC000561 (Pennsylvania).

The current practice location address for Brenda Daugherty-shrivastava is 30 Pinnacle Dr, Clarion, PA and can be reached out via phone at 814-223-9914 and via fax at 814-223-9917.

Location: 30 Pinnacle Dr, Clarion, PA, 16146-1503
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Provider Profile Details
NPI Number
1104156157
Provider Name
Brenda Daugherty-shrivastava
Credential
Provider Entity Type
Individual
Gender
Female
Address
30 Pinnacle Dr, Clarion, PA, 16146-1503
Phone Number
814-223-9914
Fax Number
814-223-9917
Provider Enumeration Date
01/13/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PC000561 01 PA LICENSED PROFESSIONAL COUNSELOR
institution
Provider Business Practice Location Address Details
Address
30 Pinnacle Dr
City
State
Zip
16214-3800
Phone Number
814-223-9914
Fax Number
814-223-9917
person
Provider Business Mailing Address Details
Address
30 Pinnacle Dr
City
State
Zip
16214-3800
Phone Number
814-223-9914
Fax Number
814-223-9917
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PC000561 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PC000561 (Pennsylvania)
Definition
Definition to come...
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