Individual
JASON STANSBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
901 MEDIA LINE RD, MEDIA, PA 19063
(610) 356-5682
Mailing address
1330 CHESTNUT ST, POTTSTOWN, PA 19464
(484) 620-9885
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC012391
PA
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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