Individual
JACLYN NICOLE SHARKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Contact information
Practice address
226 CARSON ST, PHILADELPHIA, PA 19127-1305
(267) 738-2761
Mailing address
226 CARSON ST, PHILADELPHIA, PA 19127-1305
(267) 738-2761
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC017067
PA
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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