Individual
JESSICA GIAMBRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 ORCHARD AVE, SUITE 202, KENNETT SQUARE, PA 19348-1812
(201) 491-4896
(484) 731-9069
Mailing address
500 ORCHARD AVE, SUITE 202, KENNETT SQUARE, PA 19348-1812
(201) 491-4896
(484) 731-9069
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1540
DE
101YA0400X
Addiction (Substance Use Disorder) Counselor
9403
PA
104100000X
Social Worker
44SL05857700
NJ
104100000X
Social Worker
SW130638
PA
1041C0700X
Clinical Social Worker
Primary
CW019559
PA
Other
Enumeration date
10/13/2014
Last updated
08/15/2017
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