Individual provider · Type 1 NPI
Jackie M. Rider
Professional Counselor · Greensburg, PA
NPI number
1891374419
Active
Practice location
4963 US 30, Suite 204
Greensburg, PA 15601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC001495 (PA) |
Professional Counselor: Definition to come...
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About NPI 1891374419
Jackie M. Rider's National Provider Identifier is 1891374419, issued on Apr 2, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Greensburg, PA. The record was last updated on Apr 2, 2021.