Individual
JESSICA HAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATR-BC, LPC
Contact information
Practice address
236 SMITH GAP TERRACE, KUNKLETOWN, PA 18058
(267) 601-4326
Mailing address
PO BOX 412, KUNKLETOWN, PA 18058-0412
(267) 601-4326
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15580
PA
101YP2500X
Professional Counselor
Primary
PC013777
PA
221700000X
Art Therapist
19-573
PA
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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