Individual
JESSICA R SUBLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2784 EGYPT RD, AUDUBON, PA 19403-2255
(610) 850-8009
Mailing address
610 CHARLES DR, KING OF PRUSSIA, PA 19406-1670
(484) 213-6144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/15/2024
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