Individual
JENNIFER ANN DIVITTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC NCC
Contact information
Practice address
725 MAIN ST, LATROBE, PA 15650-1632
(724) 516-8192
Mailing address
725 MAIN ST, LATROBE, PA 15650-1632
(724) 516-8192
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC005453
PA
Other
Enumeration date
09/11/2010
Last updated
09/11/2010
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