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Individual

MS. JACQUELINE SUZANNE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA LAPC

Contact information

Practice address
1891 SANTA BARBARA DR STE 102, LANCASTER, PA 17601-4106
(717) 936-9758
Mailing address
1891 SANTA BARBARA DR STE 102, LANCASTER, PA 17601-4106
(717) 936-9758

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
APC001070
PA
101YM0800X
Mental Health Counselor
APC001070
PA
101YP2500X
Professional Counselor
Primary
APC001070
PA

Other

Enumeration date
03/22/2025
Last updated
03/28/2025
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