Provider Demographics
NPI:1477153344
Name:HARRINGTON, BRIANNE MARIE (LPC)
Entity Type:Individual
Prefix:
First Name:BRIANNE
Middle Name:MARIE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BRIANNE
Other - Middle Name:MARIE
Other - Last Name:WAGNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:865 EISENHOWER BLVD
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-3318
Mailing Address - Country:US
Mailing Address - Phone:814-266-8840
Mailing Address - Fax:
Practice Address - Street 1:865 EISENHOWER BLVD
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-3318
Practice Address - Country:US
Practice Address - Phone:814-266-8840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-29
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PALC012712101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional