Healthcare Provider Details

I. General information

NPI: 1205142437
Provider Name (Legal Business Name): JEAN L. ARMSTRONG LPCMH, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2010
Last Update Date: 08/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

254 E MAIN ST
NEWARK DE
19711-7311
US

IV. Provider business mailing address

1507 MONTGOMERY RD
WILMINGTON DE
19805-1244
US

V. Phone/Fax

Practice location:
  • Phone: 302-731-1504
  • Fax:
Mailing address:
  • Phone: 302-494-5422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC0000452
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: