Individual
TODD D JUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PC
Contact information
Practice address
18 WEST 9TH ST, ERIE, PA 16501
(814) 459-4581
(814) 456-0161
Mailing address
717 STATE ST, SUITE 16 LL, ERIE, PA 16501
(814) 480-7100
(814) 480-7604
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC001390
PA
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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