Provider Information for 1609295732
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JESSICA HENDRIX NCC, LPC
Sex: Female
NPI: 1609295732
Last Updated: 2024-02-27
Certification Date: 2024-02-27
Certification Date: 2024-02-27
Details
| Name | Value | ||||||||||||||||
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| NPI | 1609295732 | ||||||||||||||||
| Enumeration Date | 2014-04-16 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 495 THOMAS JONES WAY STE 204 EXTON, PA 19341-2553 United States Phone: 610-892-3800 | Fax:484-468-1412 | ||||||||||||||||
| Primary Practice Address | 495 THOMAS JONES WAY STE 204 EXTON, PA 19341-2553 United States Phone: 610-892-3800 | Fax:484-468-1412 | ||||||||||||||||
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