Provider Demographics
NPI:1881952380
Name:FETTER, LORIANN JACQUELYN (LPC, GC-C, NCC)
Entity type:Individual
Prefix:MRS
First Name:LORIANN
Middle Name:JACQUELYN
Last Name:FETTER
Suffix:
Gender:F
Credentials:LPC, GC-C, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 NORTHGATE SQ STE 200
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-1395
Mailing Address - Country:US
Mailing Address - Phone:412-610-2221
Mailing Address - Fax:
Practice Address - Street 1:1 NORTHGATE SQ STE 200
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-1395
Practice Address - Country:US
Practice Address - Phone:412-610-2221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-03
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006331101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional