Organization
JENNIFER W QUISENBERRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTYN BILLINGS (CREDENTIALING)
(412) 655-4362
Entity
Organization
Contact information
Practice address
817 CENTENNIAL AVE, SEWICKLEY, PA 15143-1726
(412) 889-4908
Mailing address
PO BOX 791, CARNEGIE, PA 15106-0791
(412) 655-4362
(412) 504-7702
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC015920
STATE LICE
PA
Enumeration date
10/05/2024
Last updated
10/05/2024
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