Provider Demographics
NPI:1518599182
Name:MCCAFFREY, JESSICA LEE (BA)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:LEE
Last Name:MCCAFFREY
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:766 E PITTSBURGH ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2678
Mailing Address - Country:US
Mailing Address - Phone:412-246-8965
Mailing Address - Fax:412-224-4550
Practice Address - Street 1:766 E PITTSBURGH ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2678
Practice Address - Country:US
Practice Address - Phone:412-246-8965
Practice Address - Fax:412-224-4550
Is Sole Proprietor?:No
Enumeration Date:2020-02-11
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor