| Jessica B. Macrino, Lpc, Llc | |
|
4508 Zuck Rd Ste 1 Erie PA 16506-4523 | |
| (814) 682-5053 | |
| (814) 314-8548 |
| Full Name | Jessica B. Macrino, Lpc, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4508 Zuck Rd Ste 1, Erie, Pennsylvania |
| Authorized Official Name and Position | Jessica Borrero Macrino (CEO) |
| Authorized Official Contact | 8148828258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica B. Macrino, Lpc, Llc 3641 Sterrettania Rd Erie PA 16506-2826 Ph: (814) 682-5053 | Jessica B. Macrino, Lpc, Llc 4508 Zuck Rd Ste 1 Erie PA 16506-4523 Ph: (814) 682-5053 |
| NPI Number | 1689023251 |
|---|---|
| Provider Enumeration Date | 06/06/2016 |
| Last Update Date | 05/30/2023 |
| Certification Date | 05/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689023251 | NPI | - | NPPES |
| 1032295520002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PC007897 (Pennsylvania) | Primary |
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