Individual
MRS. JENNIFER LYDIA FLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, NCC, LPC
Contact information
Practice address
209 S MAPLE AVE, GREENSBURG, PA 15601-3216
(724) 420-5038
(724) 420-5863
Mailing address
7 2ND AVE, SCOTTDALE, PA 15683-2102
(724) 953-9733
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC005970
PA
101YS0200X
School Counselor
—
PA
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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