Individual
MRS. JENNIFER KATHRYN MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1035 GLENVIEW DR, DENVER, PA 17517-9600
(484) 472-3272
Mailing address
1035 GLENVIEW DR, DENVER, PA 17517-9600
(484) 472-3272
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC010618
PA
Other
Enumeration date
02/09/2020
Last updated
08/27/2024
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