Individual provider · Type 1 NPI
Lysa Monique Christine Jenkins-Hayden, LPC, MA, R-DMT
Mental Health Counselor · Philadelphia, PA
NPI number
1700297900
Active
Practice location
6310 N 10th St, 1st Floor
Philadelphia, PA 19141-3804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | PC007537 (PA) |
Mental Health Counselor: Definition to come...
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About NPI 1700297900
Lysa Monique Christine Jenkins-Hayden, LPC, MA, R-DMT's National Provider Identifier is 1700297900, issued on May 11, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on May 11, 2014.