Individual provider · Type 1 NPI
Jessica Moleano, MS, LPC
Professional Counselor · Philadelphia, PA
NPI number
1205466604
Active
Practice location
1080 N Delaware Ave
Philadelphia, PA 19125-4330
Mailing address
1421 E Wilt St
Philadelphia, PA 19125-2710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC009682 (PA) |
Professional Counselor: Definition to come...
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About NPI 1205466604
Jessica Moleano, MS, LPC's National Provider Identifier is 1205466604, issued on Jan 24, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 24, 2020.