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Jennifer C Nissley
Mental Health Counselor in Freeburg, Pennsylvania
NPI 1104159169

Jennifer C Nissley is a Mental Health Counselor based in Wilkes Barre, PA and is specialized in Mental Health. Jennifer C Nissley practices in Freeburg, PA. The NPI Number for Jennifer C Nissley is 1104159169 and holds a License No. (Pennsylvania).

The current practice location address for Jennifer C Nissley is 6 North Willow St, Freeburg, PA and can be reached out via phone at 717-991-5604.

Location: 6 North Willow St, Freeburg, PA, 18702-3808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104159169
Provider Name
Jennifer C Nissley
Credential
Provider Entity Type
Individual
Gender
Female
Address
6 North Willow St, Freeburg, PA, 18702-3808
Phone Number
717-991-5604
Fax Number
Provider Enumeration Date
09/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007777400036 05 PA
institution
Provider Business Practice Location Address Details
Address
6 North Willow St
City
Freeburg
State
Pennsylvania
Zip
17827-0000
Phone Number
717-991-5604
Fax Number
person
Provider Business Mailing Address Details
Address
6 North Willow St
City
Freeburg
State
Pennsylvania
Zip
17827-0000
Phone Number
717-991-5604
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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