Individual
JAMAR IZZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CMHC
Contact information
Practice address
1234 N 28TH ST, PHILA, PA 19121-4536
(215) 432-5396
Mailing address
1234 N 28TH ST, PHILA, PA 19121-4536
(215) 432-5396
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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