Individual
JENNIFER VICTORIA HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1644 W CHAMPLOST ST, PHILADELPHIA, PA 19141-1819
(267) 262-4743
Mailing address
1644 W CHAMPLOST ST, PHILADELPHIA, PA 19141-1819
(267) 270-2407
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/19/2020
Last updated
09/19/2020
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