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Kelly Lynn Nicodemus
Mental Health Counselor in Johnstown, Pennsylvania
NPI 1952605693

Kelly Lynn Nicodemus is a Mental Health Counselor based in Bedford, PA and is specialized in Mental Health. Kelly Lynn Nicodemus practices in Johnstown, PA. The NPI Number for Kelly Lynn Nicodemus is 1952605693 and holds a License No. (Pennsylvania).

The current practice location address for Kelly Lynn Nicodemus is 131 Market St, Johnstown, PA and can be reached out via phone at 814-623-1212.

Location: 131 Market St, Johnstown, PA, 15522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952605693
Provider Name
Kelly Lynn Nicodemus
Credential
Provider Entity Type
Individual
Gender
Female
Address
131 Market St, Johnstown, PA, 15522
Phone Number
814-623-1212
Fax Number
Provider Enumeration Date
01/10/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
131 Market St
City
Johnstown
State
Pennsylvania
Zip
15901-1628
Phone Number
814-623-1212
Fax Number
person
Provider Business Mailing Address Details
Address
131 Market St
City
Johnstown
State
Pennsylvania
Zip
15901-1628
Phone Number
814-623-1212
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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