Individual
JACOB WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
504 LAKESIDE PARK, SOUTHAMPTON, PA 18966-4078
(215) 584-6547
Mailing address
504 LAKESIDE PARK, SOUTHAMPTON, PA 18966-4078
(215) 584-6547
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/11/2016
Last updated
10/21/2022
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