Individual
JENNIFER REBECCA PERREAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
214 W BROAD ST, BETHLEHEM, PA 18018-5518
(484) 858-0788
(484) 891-5558
Mailing address
214 W BROAD ST, BETHLEHEM, PA 18018-5518
(484) 858-0788
(484) 891-5558
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC010431
PA
Other
Enumeration date
05/25/2018
Last updated
07/29/2019
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