Provider Demographics
NPI:1851936488
Name:JABCO, JAYCIE (LPC)
Entity type:Individual
Prefix:
First Name:JAYCIE
Middle Name:
Last Name:JABCO
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 1:1172 CLARENCE RD
Mailing Address - Street 2:
Mailing Address - City:CLARENCE
Mailing Address - State:PA
Mailing Address - Zip Code:16829-8001
Mailing Address - Country:US
Mailing Address - Phone:717-487-8857
Mailing Address - Fax:
Practice Address - Street 1:2018 MAPLE ST
Practice Address - Street 2:
Practice Address - City:LANSE
Practice Address - State:PA
Practice Address - Zip Code:16849-1036
Practice Address - Country:US
Practice Address - Phone:814-345-5550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-07
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor