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Individual

MS. JEANETTE DONNA EGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS,LPC, CAC-D,CCDP-D

Contact information

Practice address
860 BROAD ST STE 106, EMMAUS, PA 18049-3630
(610) 965-3635
(610) 965-3635
Mailing address
860 BROAD ST STE 106, EMMAUS, PA 18049-3630
(610) 965-3635
(610) 965-3635

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CERTIFICATION#3933
PA
101YM0800X
Mental Health Counselor
Primary
PC000119
PA
101YP2500X
Professional Counselor
PC000119
PA

Other

Enumeration date
09/13/2006
Last updated
09/11/2025
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