| Jennifer W Quisenberry | |
|
817 Centennial Ave Sewickley PA 15143-1726 | |
| (412) 889-4908 | |
| Not Available |
| Full Name | Jennifer W Quisenberry |
|---|---|
| Speciality | Counselor - Professional |
| Location | 817 Centennial Ave, Sewickley, Pennsylvania |
| Authorized Official Name and Position | Kristyn Billings (CREDENTIALING) |
| Authorized Official Contact | 4126554362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer W Quisenberry Po Box 791 Carnegie PA 15106-0791 Ph: (412) 655-4362 | Jennifer W Quisenberry 817 Centennial Ave Sewickley PA 15143-1726 Ph: (412) 889-4908 |
| NPI Number | 1760201925 |
|---|---|
| Provider Enumeration Date | 10/05/2024 |
| Last Update Date | 10/05/2024 |
| Certification Date | 10/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760201925 | NPI | - | NPPES |
| PC015920 | Other | PA | STATE LICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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