Individual
JAYDA FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
600 W GERMANTOWN PIKE, PLYMOUTH MEETING, PA 19462-1046
(610) 772-4340
Mailing address
7972 GILBERT ST, PHILADELPHIA, PA 19150-2506
(267) 254-7774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC016524
PA
Other
Enumeration date
11/20/2023
Last updated
04/06/2024
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