Individual
JENNIFER L STREETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1116 W NORTH AVE APT C, PITTSBURGH, PA 15233-1934
(419) 348-9173
Mailing address
1116 W NORTH AVE APT C, PITTSBURGH, PA 15233-1934
(419) 348-9173
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC011975
PA
101YM0800X
Mental Health Counselor
PC011975
PA
101YP2500X
Professional Counselor
Primary
PC011975
PA
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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