Most Relevant Information
Provider Data
| NPI Number: | 1003563297 |
| Provider Name: | NICOLE JAFFE MA LPC ATR |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | PC011414 |
Most Important Dates
| Enumeration Date: | 03/07/2022 |
| Last Updated: | 03/07/2022 |
Provider Practice Location
2566 FRANKFORD AVE
PHILADELPHIA
PA
191251743
Practice Location Phone/Fax
| Phone: | 2675719534 |
| Fax: |
Provider Mailing Location
534 WOODLAND AVE
CHELTENHAM
PA
190122120
Provider Mailing Phone/Fax
| Phone: | 2156803994 |
| Fax: |