Individual
MRS. JENNIFER LEAH GREENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
237 W LANCASTER AVE, SUITE 115, DEVON, PA 19333-1592
(610) 687-8200
Mailing address
4842 SMICK ST, PHILADELPHIA, PA 19127-1911
(856) 313-7895
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC007814
PA
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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