Individual
JENNIFER PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 S 36TH ST STE 201, CAMP HILL, PA 17011-4355
(717) 301-4044
Mailing address
3456 LISBURN RD, MECHANICSBURG, PA 17055-6714
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC009563
PA
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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