Individual
JENNIFER TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
283 BUTLER RD, MOUNT GRETNA, PA 17064-6085
(717) 273-8871
(717) 270-2442
Mailing address
283 BUTLER RD, MOUNT GRETNA, PA 17064-6085
(717) 273-8871
(717) 270-2442
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC008142
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103742758
—
PA
01
—
13620234
CAQH
—
01
—
PC008142
STATE LICENSE
PA
Enumeration date
06/04/2015
Last updated
04/06/2023
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