JACOB PENVOSE

DU BOIS, PA
NPI1306469937
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: PA  PC012394)
Enumeration Date2020-05-18
Last Update Date2020-05-18
Business Address
JACOB PENVOSE LPC
3 S BRADY ST STE 205
DU BOIS, PA 15801-2159
Phone number: 814-371-1088
Mailing Address
JACOB PENVOSE LPC
3 S BRADY ST STE 205
DU BOIS, PA 15801-2159
Phone number: 814-591-6841