Individual
JESSE RAINEY MACBETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
100 S BROAD ST STE 1920, PHILADELPHIA, PA 19110-1064
(267) 838-0066
Mailing address
604 ARLINGHAM RD, FLOURTOWN, PA 19031-1702
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF001255
PA
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/16/2018
Last updated
05/08/2022
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