Individual
JESSICA LEIBIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
271 HINKLE RD, ASHLAND, PA 17921-9113
(570) 817-6107
Mailing address
271 HINKLE RD, ASHLAND, PA 17921-9113
(570) 817-6107
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7962
PA
101YP2500X
Professional Counselor
Primary
PC006530
PA
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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