Willow Haven Counseling LLC
NPI #1588404099 in Blakely, Pennsylvania
Provider Information
- NPI Number
- 1588404099
- Entity Type
- Organization
- Organization Name
- Willow Haven Counseling LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- May 31, 2024
- Last Updated
- Jul 12, 2024
Practice Location
- Address
- 1714 MAIN ST
- City
- Blakely
- State
- Pennsylvania
- ZIP Code
- 18447-1362
- Phone
- (814) 232-7112
Authorized Official
- Name
- TRACY JENSEN, LPC, NBCC
- Title
- OWNER AND LPC
- Phone
- (814) 232-7112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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