Individual provider · Type 1 NPI
Audrey Jean-Jacques, MA, LPC
Professional Counselor · Philadelphia, PA
NPI number
1962054759
Active
Practice location
3850 Woodhaven Rd # HOUSE804
Philadelphia, PA 19154-2730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC011560 (PA) |
Professional Counselor: Definition to come...
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About NPI 1962054759
Audrey Jean-Jacques, MA, LPC's National Provider Identifier is 1962054759, issued on Jul 11, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 15, 2021.