Individual
JENELLE LOUISE STINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
54 S COMMERCE WAY STE 100, BETHLEHEM, PA 18017-8966
(610) 866-2020
Mailing address
PO BOX 266, LEESPORT, PA 19533-0266
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC009794
PA
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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