Individual
JACQUELINE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 CHESTER AVE, COATESVILLE, PA 19320-3669
(484) 219-4416
Mailing address
1828 SAGINAW DR, COATESVILLE, PA 19320-3093
(610) 563-4396
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC014006
PA
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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