Individual
JESSICA LYNN PERESTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11676 PERRY HWY STE 2108, WEXFORD, PA 15090-7202
(412) 944-6400
Mailing address
1964 RED COACH RD, ALLISON PARK, PA 15101-3229
(724) 816-1677
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC011507
PA
Other
Enumeration date
02/21/2020
Last updated
05/08/2020
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