Organization
DR JESSE SMITH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE ALLEN SMITH LMFT (OWNER)
(484) 278-3319
Entity
Organization
Contact information
Practice address
1807 WATERLOO ST, PHILADELPHIA, PA 19122-2422
(484) 278-3319
Mailing address
1807 WATERLOO ST, PHILADELPHIA, PA 19122-2422
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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