Individual
JASOLEIL AMBER CINEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Contact information
Practice address
27 W ATHENS AVE, ARDMORE, PA 19003-1321
(484) 415-5745
Mailing address
27 W ATHENS AVE, ARDMORE, PA 19003-1321
(267) 589-0423
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC014736
PA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/13/2022
Last updated
08/16/2022
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