Organization
JEANETTE EGAN
Active
Other names
Jeanette Egan 'A MH & D& A Outpatient Treatment Facility'
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE DONNA EGAN MS, LPC, CAC-D (DIRECTOR)
(610) 965-3635
Entity
Organization
Contact information
Practice address
860 BROAD ST STE 106, EMMAUS, PA 18049-3630
(610) 965-5790
(610) 965-5790
Mailing address
860 BROAD ST STE 106, EMMAUS, PA 18049-3630
(610) 965-5790
(610) 965-5790
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
PC000119
PA
101YM0800X
Mental Health Counselor
PC000119
PA
101YP2500X
Professional Counselor
Primary
PC000119
PA
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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