Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | PC004451 | PA |
NPI | 1003080458 |
---|---|
Provider Name | Jason T Savenelli |
First Address | Schnecksville, PA 18078-2580 |
Second Address | Schnecksville, PA 18078-2580 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2008 |
Last Update Date | 11/06/2019 |