Individual provider · Type 1 NPI
Mary Ellen Brehm Raposa, MED, NCC, LPC
Professional Counselor · Bethlehem, PA
NPI number
1164710604
Active
Practice location
621 Taylor St
Bethlehem, PA 18015-3117
Mailing address
621 Taylor St.
Bethlehem, PA 18015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC005826 (PA) |
Professional Counselor: Definition to come...
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About NPI 1164710604
Mary Ellen Brehm Raposa, MED, NCC, LPC's National Provider Identifier is 1164710604, issued on Jul 19, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bethlehem, PA. The record was last updated on Jul 19, 2011.