Individual provider · Type 1 NPI

Jeanette Anne Pailas, M.A./A.T.R.-L.P.C.

Professional Counselor · Phila, PA

NPI number 1598090136 Active

Practice location

4641 Roosevelt Blvd
Phila, PA 19124-2343

Mailing address

6706 Lincoln Dr
Phila, PA 19119-3155

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPC004973 (PA)

Professional Counselor: Definition to come...

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About NPI 1598090136

Jeanette Anne Pailas, M.A./A.T.R.-L.P.C.'s National Provider Identifier is 1598090136, issued on Oct 15, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phila, PA. The record was last updated on Oct 15, 2009.