Individual
KATELYN IRENE JAKUBOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Contact information
Practice address
30 S 15TH ST STE 1550, PHILADELPHIA, PA 19102-4806
(724) 804-8591
Mailing address
341 SPRING ST, LATROBE, PA 15650-1932
(724) 771-5810
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC012604
PA
Other
Enumeration date
08/11/2020
Last updated
04/24/2025
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