Most Relevant Information
Provider Data
| NPI Number: | 1003437674 |
| Provider Name: | JACQUELINE RENEE PALMER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/05/2020 |
| Last Updated: | 05/05/2020 |
Provider Practice Location
245 W RACE ST
SOMERSET
PA
155011922
Practice Location Phone/Fax
| Phone: | 8144434891 |
| Fax: | 8144436399 |
Provider Mailing Location
245 W RACE ST
SOMERSET
PA
155011922
Provider Mailing Phone/Fax
| Phone: | 8144434891 |
| Fax: | 8144436399 |