Individual
JEANNE FISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
150 W CHOCOLATE AVE, HERSHEY, PA 17033-1527
(484) 354-4001
Mailing address
150 W CHOCOLATE AVE, HERSHEY, PA 17033-1527
(484) 354-4001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC009088
PA
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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