Individual
DR. JACI VERGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
134 CRIMSON LN, ELIZABETHTOWN, PA 17022-8745
(717) 468-2619
Mailing address
134 CRIMSON LN, ELIZABETHTOWN, PA 17022-8745
(717) 468-2619
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC006931
PA
101YP2500X
Professional Counselor
Primary
PC006931
PA
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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