| NPI | 1629549928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE NICHOLE JOHNSON Professional Counselor 717-400-1871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2018-12-12 |
| Last Update Date | 2019-06-11 |