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Individual

JIAO SHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, MED, BC-DMT, LPC

Contact information

Practice address
551 W LANCASTER AVE STE 300, HAVERFORD, PA 19041-1419
(610) 892-3800
Mailing address
551 W LANCASTER AVE STE 300, HAVERFORD, PA 19041-1419
(610) 892-3800

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC014743
PA
101YP2500X
Professional Counselor
Primary
PC014743
PA
225600000X
Dance Therapist
PC014743
PA

Other

Enumeration date
11/12/2018
Last updated
11/03/2024
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