Most Relevant Information
Provider Data
| NPI Number: | 1003388133 |
| Provider Name: | JILLIAN BREUNINGER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | PC010959 |
Most Important Dates
| Enumeration Date: | 12/31/2018 |
| Last Updated: | 11/03/2022 |
Provider Practice Location
3200 HIGHLAND AVE
DREXEL HILL
PA
190261425
Practice Location Phone/Fax
| Phone: | 2676643873 |
| Fax: |
Provider Mailing Location
3200 HIGHLAND AVE
DREXEL HILL
PA
190261425
Provider Mailing Phone/Fax
| Phone: | 2676643873 |
| Fax: |