Jaquelyn S Kondrot, LPC
Counselor, Professional in Meadville, PA. Individual provider (NPI-1).
NPI number1730436601
StatusActive
Last updated in NPPESOct 12, 2012
Details
- NPI
- 1730436601
- Entity type
- Individual (NPI-1)
- Name
- Jaquelyn S Kondrot
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 10, 2012
- Last updated
- Oct 12, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | PC001647 | PA | Yes |
Practice location
18201 Conneaut Lake RdMeadville, PA 16335
Phone 814-333-5060
Mailing address
509 Jefferson StMeadville, PA 16335-4907
Phone 814-333-5060
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