CHANTE MONIQUE JACKSON LPC NPI 1073382669

NPI Information

NPI: 1073382669
Provider Name: CHANTE MONIQUE JACKSON, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1031 OLD CASSATT RD STE 100
BERWYN, PA
ZIP 19312
Phone: (215) 785-6835
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Chante Monique Jackson, LPC is a professional counselor in Berwyn, PA. Chante Monique Jackson, LPC NPI is 1073382669. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1031 OLD CASSATT RD STE 100
BERWYN, PA
ZIP 19312-152
Phone: (215) 785-6835

The enumeration date for this NPI number is 12/25/2023 and was last updated on 12/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	PC016536	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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