Provider Demographics
NPI:1013364959
Name:SIGRIST, MARY ANN (MS, MS, LPC)
Entity Type:Individual
Prefix:
First Name:MARY ANN
Middle Name:
Last Name:SIGRIST
Suffix:
Gender:F
Credentials:MS, MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 319
Mailing Address - Street 2:
Mailing Address - City:BIGLER
Mailing Address - State:PA
Mailing Address - Zip Code:16825-0319
Mailing Address - Country:US
Mailing Address - Phone:814-342-5845
Mailing Address - Fax:814-342-2900
Practice Address - Street 1:601 WILSON AVE
Practice Address - Street 2:
Practice Address - City:ROARING SPRING
Practice Address - State:PA
Practice Address - Zip Code:16673-1351
Practice Address - Country:US
Practice Address - Phone:814-224-1380
Practice Address - Fax:814-224-1388
Is Sole Proprietor?:No
Enumeration Date:2016-05-20
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008885101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional