Doctor Name: | JENNIFER N RANSOM |
NPI Number: | 1467813998 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, NCC |
License Number: | PC008736 |
Business Practice Address: | 216 Main St Mill Hall, PA - 177511705 |
Business Phone Number: | 5706602803 |
Business Fax Number: | |
Mailing Address: | 216 Main St, MILL HALL |
State: | PA |
Postal Code: | 177511705 |
Phone Number: | 5706602803 |
Fax Number: | |
NPI Enumeration Date: | 03/10/2016 |
NPI Last Update Date: | 03/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC008736 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |