Individual
JENNA GRACE CARNUCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1767 N MASCHER ST, PHILADELPHIA, PA 19122-3212
(484) 459-2934
Mailing address
1767 N MASCHER ST, PHILADELPHIA, PA 19122-3212
(484) 459-2934
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC018160
PA
Other
Enumeration date
02/08/2025
Last updated
02/08/2025
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