Provider Demographics
NPI:1902059827
Name:STRUCKMANN, HELEN L (LPC)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:L
Last Name:STRUCKMANN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 W BALTIMORE AVE
Mailing Address - Street 2:2ND FL REAR
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-2609
Mailing Address - Country:US
Mailing Address - Phone:610-329-2259
Mailing Address - Fax:
Practice Address - Street 1:349 W BALTIMORE AVE
Practice Address - Street 2:2ND FL REAR
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-2609
Practice Address - Country:US
Practice Address - Phone:610-329-2259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004503101Y00000X, 101YM0800X, 101YP2500X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist