| Generation Of Change Llc | |
|
1620 Pond Rd Ste 75 Allentown PA 18104-2280 | |
| (610) 417-8198 | |
| Not Available |
| Full Name | Generation Of Change Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1620 Pond Rd Ste 75, Allentown, Pennsylvania |
| Authorized Official Name and Position | Jenna Lynn Jebitsch (MANAGING MEMBER/PSYCHOLOGIST) |
| Authorized Official Contact | 6102226436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Generation Of Change Llc 1620 Pond Rd Ste 75 Allentown PA 18104-2280 Ph: (610) 222-6436 | Generation Of Change Llc 1620 Pond Rd Ste 75 Allentown PA 18104-2280 Ph: (610) 417-8198 |
| NPI Number | 1558938522 |
|---|---|
| Provider Enumeration Date | 06/08/2021 |
| Last Update Date | 09/07/2023 |
| Certification Date | 09/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558938522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
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