Individual
JENNIFER CANDELARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5675 N FRONT ST, PHILADELPHIA, PA 19120-2719
(215) 279-9666
Mailing address
5675 N FRONT ST, PHILADELPHIA, PA 19120-2719
(215) 279-9666
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PCO11652
PA
Other
Enumeration date
08/02/2016
Last updated
06/28/2022
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