Amy Jo Mickle, LPC

NPI #1275963944 in Port Allegany, Pennsylvania

Provider Information

NPI Number: 1275963944
Entity Type: Individual
Name: Amy Jo Mickle, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Nov 17, 2013
Last Updated: Nov 17, 2013

Practice Location

Address: 217 BROAD ST
City: Port Allegany
State: Pennsylvania
ZIP Code: 16743-1209
Phone: (814) 642-2755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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