Individual
JESSICA LEE SUPPERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2291 CABOT BLVD W, LANGHORNE, PA 19047-1806
(215) 642-3230
(215) 642-3234
Mailing address
3635 STANTON ST, PHILADELPHIA, PA 19129-1618
(215) 260-3465
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC014795
PA
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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