Individual
JENNA KAGARISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Contact information
Practice address
490 EISENHOWER DR STE 7, HANOVER, PA 17331-5247
(717) 219-3659
Mailing address
4343 HANOVER RD, HANOVER, PA 17331-8907
(717) 917-6619
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC017947
PA
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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