Provider Demographics
NPI:1891329066
Name:JENNY A KRUMENACKER MA. LPC. LLC
Entity Type:Organization
Organization Name:JENNY A KRUMENACKER MA. LPC. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUMENACKER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:610-476-0028
Mailing Address - Street 1:50 W WELSH POOL RD
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1200
Mailing Address - Country:US
Mailing Address - Phone:484-212-5664
Mailing Address - Fax:
Practice Address - Street 1:50 W WELSH POOL RD
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1200
Practice Address - Country:US
Practice Address - Phone:484-212-5664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-26
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty