Leslie Gene Jantsch Waddell MA LPC NCP CCDP DIPL

NPI 1164606695 - Counselor - 101YP2500X

NPI Details
NPI 1164606695
Gender Female
Enumeration Date 12/19/2007
Last Updated 12/19/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
176 VIRGINIA AVE
ROCHESTER PA, 15074-1723, US
Phone (724) 775-5208
Fax (724) 770-0837
Business Location
176 VIRGINIA AVE
ROCHESTER PA, 15074-1723, US
Phone (724) 775-5208
Fax (724) 770-0837
Toxanomy
Taxonomy Code 101YP2500X
License State Pennsylvania
License Number PC002436
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According to our database, Mrs. Leslie Gene Jantsch Waddell MA LPC NCP CCDP DIPL NPI is 1164606695, taxonomy code is 101YP2500X and license number is PC002436, license state is located at Pennsylvania. Leslie Gene Jantsch Waddell MA LPC NCP CCDP DIPL physically located at 176 Virginia Ave, Rochester PA, 15074-1723. NPI Number Leslie Gene Jantsch Waddell MA LPC NCP CCDP DIPL has the Individual type.

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1164606695 NPI number is provided on an as is basis without warranty of any kind. 1164606695 is maintained by the National Plan & Provider Enumeration System. The contents of Leslie Gene Jantsch Waddell MA LPC NCP CCDP DIPL are for informational purposes only.