Provider Demographics
NPI:1427527100
Name:JENNINGS, TERESA HELEN (MA, LPC, ATR-BC)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:HELEN
Last Name:JENNINGS
Suffix:
Gender:F
Credentials:MA, LPC, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 FORGE MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-4600
Mailing Address - Country:US
Mailing Address - Phone:484-574-5931
Mailing Address - Fax:
Practice Address - Street 1:20 FORGE MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-4600
Practice Address - Country:US
Practice Address - Phone:484-985-1871
Practice Address - Fax:484-394-8002
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-25
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008406101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional