MEDICARE: JAMIE SHIPON LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PC010699	PA

General Provider Information

NPI Number	:	1225808595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE SHIPON LPC

Provider Business Mailing Address
First Line	:	528 MAIN ST
Second Line	:
City	:	HARLEYSVILLE
State	:	PA
Zip	:	19438-2266
Country	:	US
Telephone Number	:	267-932-9909
Fax Number	:

Provider Business Practice Location Address
First Line	:	528 MAIN ST
Second Line	:
City	:	HARLEYSVILLE
State	:	PA
Zip	:	19438-2266
Country	:	US
Telephone Number	:	267-932-9909
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2024
Last Update Date	:	01/08/2024

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Directions to “ JAMIE SHIPON LPC” Practice Location

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