Jane Folk, LPC

Individual provider Active NPI Professional Counselor · Southampton, PA

NPI 1023020096 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1023020096
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
PC002889 (PA)
Practice address
1111 Street Rd
Suite 312
Southampton, PA 18966-4250
Phone
(215) 355-2011
Fax
(215) 396-1883
NPI assigned
Aug 11, 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)
No

State licenses

LicenseStateTypeSpecialty
PC002889PAMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC002889 PA Yes

Addresses

Primary practice location

1111 Street Rd
Suite 312
Southampton, PA 18966-4250

Mailing address

1111 Street Rd
Suite 312
Southampton, PA 18966-4250
Phone (215) 355-2011

Other providers in Southampton, PA

All providers in Southampton, PA · Professional Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.