Provider Demographics
NPI:1285269332
Name:UNGER, JENNY (LPC)
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:
Last Name:UNGER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S WALNUT LN STE 201
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-1737
Mailing Address - Country:US
Mailing Address - Phone:724-620-8648
Mailing Address - Fax:
Practice Address - Street 1:300 S WALNUT LN STE 201
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-1737
Practice Address - Country:US
Practice Address - Phone:724-888-3317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011024101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC011024OtherPROFESSIONAL COUNSELOR LICENSE