Individual
JENNY MATLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
1200 ATWATER DR STE 130, MALVERN, PA 19355-8782
(610) 646-1851
(484) 355-5181
Mailing address
1200 ATWATER DR STE 130, MALVERN, PA 19355-8782
(610) 646-1851
(484) 355-5181
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC014952
PA
Other
Enumeration date
11/24/2014
Last updated
04/04/2024
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