Provider Demographics
NPI:1467674291
Name:YINGLING, JENNIFER D'LYN (MS, NCC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:D'LYN
Last Name:YINGLING
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3179 SHAWVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:PA
Mailing Address - Zip Code:16881-8701
Mailing Address - Country:US
Mailing Address - Phone:814-857-4950
Mailing Address - Fax:
Practice Address - Street 1:1661 HARDSCRABBLE RD
Practice Address - Street 2:
Practice Address - City:MUNSON
Practice Address - State:PA
Practice Address - Zip Code:16860-9404
Practice Address - Country:US
Practice Address - Phone:814-592-0021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2013-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
PAPC005568101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health