Individual
MISS JACLYN ANNA MARIE DEMONTREUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
308 E BROAD ST, BETHLEHEM, PA 18018-6311
(610) 861-8779
Mailing address
77 W BROAD ST APT 3, BETHLEHEM, PA 18018-5778
(484) 714-6373
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC007321
PA
Other
Enumeration date
12/23/2013
Last updated
11/12/2014
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