Individual
MISS JACLYN CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., NCC
Contact information
Practice address
19 N BACTON HILL RD, MALVERN, PA 19355-1005
(412) 532-1249
Mailing address
239 4TH AVE FL 18, PITTSBURGH, PA 15222-1706
(412) 532-1249
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC015505
PA
Other
Enumeration date
03/08/2021
Last updated
09/18/2023
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