Individual
MRS. JENNIFER1 WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. LBS
Contact information
Practice address
410 N PRINCE ST, LANCASTER, PA 17603-3010
(717) 560-7917
Mailing address
410 N PRINCE ST, LANCASTER, PA 17603-3010
(717) 560-7917
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
BH00174
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232828922
—
PA
Enumeration date
05/14/2014
Last updated
05/14/2014
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