Provider Demographics
NPI:1043432131
Name:ZETTLEMOYER, JENNIFER HOPE (NCC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:HOPE
Last Name:ZETTLEMOYER
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 HURON DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-2578
Mailing Address - Country:US
Mailing Address - Phone:717-761-2277
Mailing Address - Fax:
Practice Address - Street 1:2030 N 3RD ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17102-1814
Practice Address - Country:US
Practice Address - Phone:717-232-3106
Practice Address - Fax:717-232-0170
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004426101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health