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Individual

JAMIE CLAIRE MCMENAMIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
226 W RITTENHOUSE SQ APT 602, PHILADELPHIA, PA 19103-7603
(610) 209-9248
Mailing address
226 W RITTENHOUSE SQ APT 602, PHILADELPHIA, PA 19103-7603
(610) 209-9248

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC011904
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PC011904
COMMONWEALTH OF PA DEPT. OF STATE
PA
Enumeration date
12/02/2019
Last updated
12/02/2019
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