| Doctor Name: | MISS JESSICA GABRIELA DASHEVSKY |
| NPI Number: | 1477938991 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S |
| License Number: | |
| Business Practice Address: | 595 Bethlehem Pike Suite 106 Montgomeryville, PA - 189369710 |
| Business Phone Number: | 2159972000 |
| Business Fax Number: | |
| Mailing Address: | 467 Parlin St, PHILADELPHIA |
| State: | PA |
| Postal Code: | 191163512 |
| Phone Number: | 2674013018 |
| Fax Number: | |
| NPI Enumeration Date: | 07/27/2015 |
| NPI Last Update Date: | 07/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |