| Doctor Name: | JENNIFER JULSTEDT |
| NPI Number: | 1245613926 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PC008207 |
| Business Practice Address: | 340 Montage Mountain Rd Moosic, PA - 185071782 |
| Business Phone Number: | 5703463686 |
| Business Fax Number: | 5705586838 |
| Mailing Address: | 28 Rubando Dr, SPRING BROOK TOWNSHIP |
| State: | PA |
| Postal Code: | 184446430 |
| Phone Number: | 5703353744 |
| Fax Number: | |
| NPI Enumeration Date: | 06/30/2015 |
| NPI Last Update Date: | 06/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC008207 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |