JESSICA MCDONOUGH MS, NCC, LPC
NPI 1003383431
Counselor - Professional in Moosic, PA
- Individual
- Female
- Counselor
- Professional
About JESSICA MCDONOUGH
This page provides the complete NPI Profile along with additional information for Jessica Mcdonough, a provider established in Moosic, Pennsylvania with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1003383431 assigned on October 2018. The practitioner's primary taxonomy code is 101YP2500X with license number PC010785 (PA). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1003383431 Verify this NPI
- Provider Name
- JESSICA MCDONOUGH MS, NCC, LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507
- Location Phone
- (570) 346-3686
- Location Fax
- (570) 558-6838
- Mailing Address
- 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507
- Mailing Phone
- (570) 346-3686
- Mailing Fax
- (570) 558-6838
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-24-2018
- Last Update Date
- 02-19-2019
- Code Navigator
Location Map
Secondary Locations
- 340 Montage Mountain Rd
Moosic, PA 18507
(570) 346-3686
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PC010785
- License State
- PA
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003383431, enumerated as an "individual" on October 24, 2018.
The provider is located at 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507 and the phone number is (570) 346-3686.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
