Most Relevant Information
Provider Data
| NPI Number: | 1003383431 |
| Provider Name: | JESSICA MCDONOUGH MS, NCC, LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | PC010785 |
Most Important Dates
| Enumeration Date: | 10/24/2018 |
| Last Updated: | 02/19/2019 |
Provider Practice Location
340 MONTAGE MOUNTAIN RD
MOOSIC
PA
185071707
Practice Location Phone/Fax
| Phone: | 5703463686 |
| Fax: | 5705586838 |
Provider Mailing Location
340 MONTAGE MOUNTAIN RD
MOOSIC
PA
185071707
Provider Mailing Phone/Fax
| Phone: | 5703463686 |
| Fax: | 5705586838 |