Individual
JESSICA HACKETT-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 W GODFREY AVE, PHILADELPHIA, PA 19141-3313
(267) 403-3335
Mailing address
1115 W GODFREY AVE, PHILADELPHIA, PA 19141-3313
(215) 360-2565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
BH001597
PA
101YP2500X
Professional Counselor
Primary
PC015275
PA
Other
Enumeration date
04/26/2021
Last updated
03/12/2026
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