Individual
JAMIE SHUTTLESWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1512 MOUNT VERNON ST, PHILADELPHIA, PA 19130-3412
(717) 525-4155
Mailing address
1512 MOUNT VERNON ST, PHILADELPHIA, PA 19130-3412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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