Individual provider · Type 1 NPI

Kanchi Devendra Jain

Counselor · Harrisburg, PA

NPI number 1336095975 Active

Practice location

548 S 17th St
Harrisburg, PA 17104-2223

Call (717) 695-7919 Map

Fax (717) 695-7610

Mailing address

200 N 7th St
Lebanon, PA 17046-5040

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1336095975

Kanchi Devendra Jain's National Provider Identifier is 1336095975, issued on Mar 6, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Harrisburg, PA. The record was last updated on Mar 6, 2026.