Individual
BETH ELISE JELLINEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1315 WALNUT ST, SUITE 806, PHILADELPHIA, PA 19107-4719
(215) 219-9646
Mailing address
748 S RANDOLPH ST, PHILADELPHIA, PA 19147-3028
(215) 219-9646
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC006883
PA
Other
Enumeration date
08/08/2013
Last updated
09/30/2014
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