Individual
JENNIFER L O'BRIEN
Active
Individual
JENNIFER L O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAPC, ICAADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
APC000159
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265736235
MEDICAID
PA
05
—
1265736235
—
PA
Enumeration date
01/05/2011
Last updated
10/17/2024
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