| Jillian Nazarenko, Llc | |
|
121 N Cedar Crest Blvd Ste A Allentown PA 18104-4664 | |
| (484) 222-0067 | |
| Not Available |
| Full Name | Jillian Nazarenko, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 121 N Cedar Crest Blvd Ste A, Allentown, Pennsylvania |
| Authorized Official Name and Position | Jillian Nazarenko (OWNER) |
| Authorized Official Contact | 4842220067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jillian Nazarenko, Llc 121 N Cedar Crest Blvd Ste A Allentown PA 18104-4664 Ph: () - | Jillian Nazarenko, Llc 121 N Cedar Crest Blvd Ste A Allentown PA 18104-4664 Ph: (484) 222-0067 |
| NPI Number | 1760265656 |
|---|---|
| Provider Enumeration Date | 08/15/2023 |
| Last Update Date | 08/15/2023 |
| Certification Date | 08/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760265656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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