Individual
JACQLYN ELIZABETH DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
110 PARK AVE STE 2, SWARTHMORE, PA 19081-1736
(610) 308-0010
Mailing address
1020 HARVARD AVE, SWARTHMORE, PA 19081-2212
(610) 308-0010
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC004734
PA
Other
Enumeration date
10/26/2007
Last updated
05/21/2009
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