Individual
JESSICA LENOIR ST. JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2901 ISLAND AVE, PHILADELPHIA, PA 19153-3013
(267) 713-4100
Mailing address
100 S BROAD ST STE 1304, PHILADELPHIA, PA 19110-1004
(267) 414-0181
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC010351
PA
101YP2500X
Professional Counselor
Primary
PC010351
PA
Other
Enumeration date
04/16/2018
Last updated
10/22/2021
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