Individual
ALEXIS ANN JACOMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9 S 7TH ST STE 203, INDIANA, PA 15701-2787
(724) 664-7271
Mailing address
911 FAWCETT AVE, MCKEESPORT, PA 15132-1409
(412) 609-4346
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC011233
PA
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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