Individual
JENNA RAE VIDULICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
322 N SHORE DR, PITTSBURGH, PA 15212-5875
(646) 941-7645
Mailing address
322 N SHORE DR, PITTSBURGH, PA 15212-5875
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC009999
PA
Other
Enumeration date
02/04/2018
Last updated
02/24/2025
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