Provider Demographics
NPI:1043460272
Name:CUTENESE, JESSICA R (NCC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:R
Last Name:CUTENESE
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 1:410 S MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-3221
Mailing Address - Country:US
Mailing Address - Phone:724-433-8978
Mailing Address - Fax:724-836-6197
Practice Address - Street 1:410 S MAPLE AVE
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-3221
Practice Address - Country:US
Practice Address - Phone:724-433-8978
Practice Address - Fax:724-836-6197
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004090101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional