Individual
JANNEKE M VAN BEUSEKOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
822 MARIETTA AVE, SUITE 23, LANCASTER, PA 17603-3239
(717) 393-3002
Mailing address
822 MARIETTA AVE, SUITE 23, LANCASTER, PA 17603-3239
(717) 393-3002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013820
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03157501
CAPITAL BLUE CROSS
PA
01
—
464460
VALUE OPTIONS
PA
Enumeration date
05/10/2006
Last updated
03/15/2013
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