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AUDREY JEAN-JACQUES MA, LPC
NPI 1962054759
Counselor - Professional in Philadelphia, PA

Active since July 11, 2019
3850 WOODHAVEN RD # HOUSE804, PHILADELPHIA, PA 19154(267) 760-3759 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2021, Jul 11, 2019 (2 updates tracked since 2019).

About Audrey Jean-jacques Ma, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDREY JEAN-JACQUES MA, LPC (NPI 1962054759) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC011560) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1962054759
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAUDREY JEAN-JACQUESCredential: MA, LPC
Location Address3850 WOODHAVEN RD # HOUSE804Philadelphia, PA 19154-2730
Mailing Address3850 Woodhaven Rd # House804Philadelphia, PA 19154-2730 · (267) 760-3759
Phone(267) 760-3759
Sole ProprietorNo
Enumeration DateJuly 11, 2019
Last NPPES UpdateApril 15, 20212 updates tracked since enumeration
NPPES CertifiedApril 15, 2021
✔ NPI 1962054759 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 · PC011560
3850 WOODHAVEN RD # HOUSE804, Philadelphia, PA 19154
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audrey Jean-jacques's NPI number?

The NPI number for Audrey Jean-jacques is 1962054759. It was assigned to this individual provider in the NPPES registry on July 11, 2019.

Where is Audrey Jean-jacques located?

Audrey Jean-jacques practices at 3850 Woodhaven Rd # House804, Philadelphia, PA 19154. The listed phone number is (267) 760-3759.

What is Audrey Jean-jacques's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Audrey Jean-jacques was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.