Provider Demographics
NPI:1285480095
Name:NANCE, AUBRIA (EDD, LPC)
Entity type:Individual
Prefix:DR
First Name:AUBRIA
Middle Name:
Last Name:NANCE
Suffix:
Gender:F
Credentials:EDD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 321
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-0321
Mailing Address - Country:US
Mailing Address - Phone:484-301-0349
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 321
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-0321
Practice Address - Country:US
Practice Address - Phone:484-301-0349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC016747101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional