Individual provider · Type 1 NPI

Jake D. Thiessen, PhD

Marriage & Family Therapist · Mechanicsburg, PA

NPI number 1023099264 Active

Practice location

5006 Lenker St
Mechanicsburg, PA 17050-2440

Call (717) 730-0733 Map

Fax (717) 730-0696

Mailing address

105 Yellow Breeches Dr
Camp Hill, PA 17011-8351

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	000107 (PA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1023099264

Jake D. Thiessen, PhD's National Provider Identifier is 1023099264, issued on Nov 5, 2005. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Mechanicsburg, PA. The record was last updated on Jul 8, 2007.