Individual
JASON HERWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4225 BALTIMORE AVE APT 2R, PHILADELPHIA, PA 19104-4493
(445) 444-1642
Mailing address
4225 BALTIMORE AVE APT 2R, PHILADELPHIA, PA 19104-4493
(445) 444-1642
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC018035
PA
Other
Enumeration date
11/27/2017
Last updated
03/06/2025
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