Maryanne Wally, LPC Valid NPI
Individual provider · Professional Counselor · Etna, PA
- NPI
- 1154042596
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- PC014602 (PA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2022-09-05
- Last updated
- 2022-09-05
Practice location
43 Grant Ave
Etna, PA 15223-1841
(412) 480-6854