Individual
JESSICA MOLEANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1080 N DELAWARE AVE, PHILADELPHIA, PA 19125-4330
(215) 496-0707
Mailing address
1421 E WILT ST, PHILADELPHIA, PA 19125-2710
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC009682
PA
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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