JENNA GRACE CARNUCCIO
NPI 1790590776
Counselor - Professional in Philadelphia, PA
Active since February 08, 2025
About Jenna Grace Carnuccio NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNA GRACE CARNUCCIO (NPI 1790590776) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC018160) and active in the NPI registry since February 2025.
NPPES Registry Identity
NPI1790590776
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNA GRACE CARNUCCIO
Location Address1767 N MASCHER STPhiladelphia, PA 19122-3212
Mailing Address1767 N Mascher StPhiladelphia, PA 19122-3212 · (484) 459-2934
Phone(484) 459-2934
Sole ProprietorYes
Enumeration DateFebruary 8, 2025
NPPES CertifiedFebruary 7, 2025
✔ NPI 1790590776 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC018160
1767 N MASCHER ST, Philadelphia, PA 19122
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790590776, enumerated as an "individual" on February 08, 2025.
The provider is located at 1767 N MASCHER ST PHILADELPHIA, PA 19122 and the phone number is (484) 459-2934.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
