Doctor Name: | TODD D JUKES |
NPI Number: | 1881779015 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PC |
License Number: | PC001390 |
Business Practice Address: | 18 West 9th St Erie, PA - 16501 |
Business Phone Number: | 8144594581 |
Business Fax Number: | 8144560161 |
Mailing Address: | 717 State St, Suite 16 Ll ERIE |
State: | PA |
Postal Code: | 16501 |
Phone Number: | 8144807100 |
Fax Number: | 8144807604 |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | PC001390 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |