Individual
MS. JENNIFER SOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
111 SOUTH SPRING ST STE 9, BELLEFONTE, PA 16823-1250
(814) 424-3638
Mailing address
111 S SPRING ST, BELLEFONTE, PA 16823-1250
(814) 424-3638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC003624
PA
Other
Enumeration date
09/16/2015
Last updated
10/08/2015
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