Individual
JESSICA MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1718 GRACE AVE, LEBANON, PA 17046-1507
(717) 926-0444
Mailing address
4548 ROUTE 419, WOMELSDORF, PA 19567-8000
(717) 926-0444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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