Individual
JENNIFER SHORTELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
200 N 16TH ST APT 1901, PHILADELPHIA, PA 19102-1211
(352) 792-8268
Mailing address
200 N 16TH ST APT 1901, PHILADELPHIA, PA 19102-1211
(352) 792-8268
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000989
PA
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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