Provider Demographics
NPI:1144584533
Name:DENARDO, JENNIFER MARIA (MA, LPC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MARIA
Last Name:DENARDO
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 PROSPECT AVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-2542
Mailing Address - Country:US
Mailing Address - Phone:814-432-4280
Mailing Address - Fax:814-437-2272
Practice Address - Street 1:150 PROSPECT AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-2542
Practice Address - Country:US
Practice Address - Phone:814-432-4280
Practice Address - Fax:814-437-2272
Is Sole Proprietor?:No
Enumeration Date:2012-06-29
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006406101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional