Individual
MRS. JESSICA ANN PORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., LPC, CCTP
Contact information
Practice address
1831 LITITZ PIKE, LANCASTER, PA 17601-6501
(717) 391-6808
Mailing address
1831 LITITZ PIKE, LANCASTER, PA 17601-6501
(717) 391-6808
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC010683
PA
103TC0700X
Clinical Psychologist
Primary
PS-020167
PA
Other
Enumeration date
11/18/2019
Last updated
01/30/2026
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