Individual
MS. JAMIE WASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC, LPC
Contact information
Practice address
737 BAINBRIDGE ST, PHILA, PA 19147
(215) 915-5217
Mailing address
1843 S SARTAIN ST, PHILA, PA 19148
(215) 915-5217
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0313802
PA
221700000X
Art Therapist
—
—
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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