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Individual

MRS. JODY ELLEN VERNAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1184 SPRINGFIELD CHURCH RD, JACKSON CENTER, PA 16133-2210
(724) 866-8033
Mailing address
1184 SPRINGFIELD CHURCH RD, JACKSON CENTER, PA 16133-2210
(724) 866-8033

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC004344
PA
101YP2500X
Professional Counselor
Primary
PC004344
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102297262
PA
01
1973158
HIGHMARK
PA
Enumeration date
01/29/2007
Last updated
11/08/2024
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