Jessica M Fleeger, LPC

Individual provider Active NPI Professional Counselor · Reynoldsville, PA

NPI 1003987488 · NPPES record last updated Jan 15, 2008

Key facts

NPI
1003987488
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
PC004219 (PA)
Practice address
522 Jackson St
Reynoldsville, PA 15851-1354
Phone
(814) 653-9428
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PC004219PAMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC004219 PA Yes

Addresses

Primary practice location

522 Jackson St
Reynoldsville, PA 15851-1354

Mailing address

522 Jackson St
Reynoldsville, PA 15851-1354
Phone (814) 653-9428

Other providers in Reynoldsville, PA

All providers in Reynoldsville, PA · Professional Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.