Individual
MRS. JILLIAN GOSSELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
716 N PARK RD, WYOMISSING, PA 19610-2912
(610) 375-0544
(610) 378-9779
Mailing address
397 OAK TER, WEST READING, PA 19611-1330
(610) 207-7075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW128359
PA
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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