Basic Information
| Provider Information | |||||||||
| NPI: | 1215531603 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TROUTMAN | ||||||||
| FirstName: | ADRIENNE | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10 JENNIFER CT | ||||||||
| Address2: | |||||||||
| City: | READING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 196081531 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4849555881 | ||||||||
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| Practice Location | |||||||||
| Address1: | 144 N 6TH ST | ||||||||
| Address2: | |||||||||
| City: | READING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 196013502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6103757454 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/25/2020 | ||||||||
| LastUpdateDate: | 11/25/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/25/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | PC012798 | PA | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.