person
Jennifer L South, PC
Professional Counselor in Bradford, Pennsylvania
NPI 1114429131

Jennifer L South is a Professional Counselor based in Bradford, PA and is specialized in Professional. Jennifer L South practices in Bradford, PA and has the professional credentials of PC. The NPI Number for Jennifer L South is 1114429131 and holds a License No. PC004917 (Pennsylvania).

The current practice location address for Jennifer L South is 110 Campus Dr, Bradford, PA and can be reached out via phone at 814-362-6535.

Location: 110 Campus Dr, Bradford, PA, 16701-1982
person
Provider Profile Details
NPI Number
1114429131
Provider Name
Jennifer L South
Credential
PC
Provider Entity Type
Individual
Gender
Female
Address
110 Campus Dr, Bradford, PA, 16701-1982
Phone Number
814-362-6535
Fax Number
Provider Enumeration Date
03/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 Campus Dr
City
State
Zip
16701-1982
Phone Number
814-362-6535
Fax Number
person
Provider Business Mailing Address Details
Address
110 Campus Dr
City
State
Zip
16701-1982
Phone Number
814-362-6535
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
25309452 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PC004917 (Pennsylvania)
Definition
Definition to come...
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