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NPI Code Detail

MEDICARE: JESSICA NAVARRO MS

MEDICARE: JESSICA NAVARRO MS
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1821723586
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA NAVARRO MS
Provider Business Mailing Address
First Line : 206 HOOKS LN
Second Line :
City : CANONSBURG
State : PA
Zip : 15317-1800
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1010 BRODHEAD RD STE 2
Second Line :
City : MOON TWP
State : PA
Zip : 15108-2322
Country : US
Telephone Number : 412-339-1782
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2022
Last Update Date : 07/18/2022

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