Individual
JILANA JAXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 W 7TH ST STE 100, ERIE, PA 16502-1333
(267) 225-3069
Mailing address
502 W 7TH ST STE 100, ERIE, PA 16502-1333
(267) 225-3069
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC017972
PA
Other
Enumeration date
06/22/2022
Last updated
07/27/2025
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