Individual provider · Type 1 NPI
Jennifer Park
Professional Counselor · Camp Hill, PA
NPI number
1174095210
Active
Practice location
20 S 36th St Ste 201
Camp Hill, PA 17011-4355
Mailing address
3456 Lisburn Rd
Mechanicsburg, PA 17055-6714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC009563 (PA) |
Professional Counselor: Definition to come...
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About NPI 1174095210
Jennifer Park's National Provider Identifier is 1174095210, issued on Dec 31, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Camp Hill, PA. The record was last updated on Dec 31, 2018.