Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | ||
Y | 101YP2500X | Professional Counselor | PC003034 | PA |
NPI | 1255653291 |
---|---|
Provider Name | Mrs. Jennifer Melnick Carota |
First Address | Belle Vernon, PA 15012-1841 |
Second Address | Belle Vernon, PA 15012-1841 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2010 |
Last Update Date | 18/02/2010 |