| Doctor Name: | JANE FOLK |
| NPI Number: | 1023020096 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | PC002889 |
| Business Practice Address: | 1111 Street Rd Suite 312 Southampton, PA - 189664250 |
| Business Phone Number: | 2153552011 |
| Business Fax Number: | 2153961883 |
| Mailing Address: | 1111 Street Rd, Suite 312 SOUTHAMPTON |
| State: | PA |
| Postal Code: | 189664250 |
| Phone Number: | 2153552011 |
| Fax Number: | 2153961883 |
| NPI Enumeration Date: | 08/11/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC002889 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |