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Individual

JAITHRA JAYAKRISHNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4301 RISING SUN AVE, PHILADELPHIA, PA 19140-2719
(267) 296-7231
(267) 332-5175
Mailing address
4301 RISING SUN AVE, PHILADELPHIA, PA 19140-2719
(347) 777-7353
(267) 332-5175

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
37PC00829300
NJ
101YP2500X
Professional Counselor
PC009108
PA

Other

Enumeration date
05/17/2016
Last updated
05/28/2024
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