Provider Demographics
NPI:1114595204
Name:GARLAND, JARRETT M (LPC, NCC)
Entity Type:Individual
Prefix:MR
First Name:JARRETT
Middle Name:M
Last Name:GARLAND
Suffix:
Gender:M
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:917 MCINTOSH DR
Mailing Address - Street 2:
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15132-7440
Mailing Address - Country:US
Mailing Address - Phone:412-607-5980
Mailing Address - Fax:
Practice Address - Street 1:2117 JENNY LIND ST
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-4457
Practice Address - Country:US
Practice Address - Phone:412-312-0599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013366101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional