Organization
JESSICA WEBSTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA L WEBSTER LPC (SOLE PROPRIETOR)
(267) 973-7529
Entity
Organization
Contact information
Practice address
4003 1ST AVE STE A, LAFAYETTE HILL, PA 19444-1401
(267) 973-7529
Mailing address
4003 1ST AVE STE A, LAFAYETTE HILL, PA 19444-1401
(267) 973-7529
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PC004174
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295910693
NPI 1
PA
Enumeration date
06/20/2017
Last updated
07/21/2022
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