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Chante Monique Jackson, LPC
Professional Counselor in Berwyn, Pennsylvania
NPI 1073382669

Chante Monique Jackson is a Professional Counselor based in Philadelphia, PA and is specialized in Professional. Chante Monique Jackson practices in Berwyn, PA and has the professional credentials of LPC. The NPI Number for Chante Monique Jackson is 1073382669 and holds a License No. PC016536 (Pennsylvania).

The current practice location address for Chante Monique Jackson is 1031 Old Cassatt Rd Ste 100, Berwyn, PA and can be reached out via phone at 215-785-6835.

Location: 1031 Old Cassatt Rd Ste 100, Berwyn, PA, 19147-6500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073382669
Provider Name
Chante Monique Jackson
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1031 Old Cassatt Rd Ste 100, Berwyn, PA, 19147-6500
Phone Number
215-785-6835
Fax Number
Provider Enumeration Date
12/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1031 Old Cassatt Rd Ste 100
City
Berwyn
State
Pennsylvania
Zip
19312-1152
Phone Number
215-785-6835
Fax Number
person
Provider Business Mailing Address Details
Address
1031 Old Cassatt Rd Ste 100
City
Berwyn
State
Pennsylvania
Zip
19312-1152
Phone Number
215-785-6835
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
PC016536 (Pennsylvania)
Definition
Definition to come...
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