Individual
JESSIE S. HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W
Contact information
Practice address
DIAKON FAMILY LIFE SERVICES, 435 W. FOURTH STREET, WILLIAMSPORT, PA 17701
(570) 322-7873
(570) 322-8026
Mailing address
DIAKON FAMILY LIFE SERVICES, 1800 W. MARKET STREET, LEWISBURG, PA 17837
(570) 524-9477
(570) 924-9492
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007777400036
—
PA
Enumeration date
05/27/2009
Last updated
05/28/2009
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