Individual provider · Type 1 NPI
Jenna Grace Carnuccio
Professional Counselor · Philadelphia, PA
NPI number
1790590776
Active
Practice location
1767 N Mascher St
Philadelphia, PA 19122-3212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC018160 (PA) |
Professional Counselor: Definition to come...
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About NPI 1790590776
Jenna Grace Carnuccio's National Provider Identifier is 1790590776, issued on Feb 8, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 8, 2025.