Individual
JESSICA L RACINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1259 S CEDAR CREST BLVD STE 230, ALLENTOWN, PA 18103-6376
(610) 402-5900
(610) 402-4650
Mailing address
1605 N CEDAR CREST BLVD STE 411, ALLENTOWN, PA 18104-2323
(484) 884-0688
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC007262
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC007262
STATE LICENSE
PA
Enumeration date
04/15/2022
Last updated
04/15/2022
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