Provider Demographics
NPI:1467469528
Name:FLANAGAN, JENNY V (LPC)
Entity Type:Individual
Prefix:MS
First Name:JENNY
Middle Name:V
Last Name:FLANAGAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 WILSON AVENUE
Mailing Address - Street 2:
Mailing Address - City:AMBRIDGE
Mailing Address - State:PA
Mailing Address - Zip Code:15003
Mailing Address - Country:US
Mailing Address - Phone:724-251-9923
Mailing Address - Fax:
Practice Address - Street 1:420 MAPLEWOOD AVENUE
Practice Address - Street 2:
Practice Address - City:AMBRIDGE
Practice Address - State:PA
Practice Address - Zip Code:15003
Practice Address - Country:US
Practice Address - Phone:724-266-1713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001075101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor