Individual
JENNIFER WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1740 SOUTH ST STE 403, PHILADELPHIA, PA 19146-1514
(215) 990-4390
Mailing address
PO BOX 74, WYNCOTE, PA 19095-0074
(215) 990-4390
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC004264
PA
Other
Enumeration date
10/23/2006
Last updated
05/28/2019
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