Individual
JEANETTE MTANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1321 N AMERICAN ST APT 3606, PHILADELPHIA, PA 19122-3873
(315) 436-3055
Mailing address
1321 N AMERICAN ST APT 3606, PHILADELPHIA, PA 19122-3873
(315) 436-3055
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF001540
PA
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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