Individual
MRS. JENNA R GIAGNACOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
20 W 6TH AVE, CONSHOHOCKEN, PA 19428-1654
(610) 509-5828
Mailing address
221 FULLING MILL LN, AMBLER, PA 19002-4202
(610) 509-5828
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC006108
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC006108
PENNSYLVANIA DEPARTMENT OF STATE
PA
Enumeration date
06/08/2012
Last updated
06/08/2012
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