Individual
JESSICA TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 COMMERCE PARK DR, WILLIAMSPORT, PA 17701-5475
(570) 323-6944
Mailing address
PO BOX 597, MOUNTVILLE, PA 17554-0597
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BH003394
PA
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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