Individual provider · Type 1 NPI
Amy Jo Mickle, LPC
Professional Counselor · Port Allegany, PA
NPI number
1275963944
Active
Practice location
217 Broad St
Port Allegany, PA 16743-1209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC007224 (PA) |
Professional Counselor: Definition to come...
About NPI 1275963944
Amy Jo Mickle, LPC's National Provider Identifier is 1275963944, issued on Nov 17, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Port Allegany, PA. The record was last updated on Nov 17, 2013.