Individual
MRS. JEANINE UQDAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7013 CEDAR PARK AVE, PHILADELPHIA, PA 19138-2017
(215) 422-3291
Mailing address
2 BALA PLZ STE 300, BALA CYNWYD, PA 19004-1512
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
822094982
MENTAL HEALTH
PA
Enumeration date
03/03/2023
Last updated
03/03/2023
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