NPI 1023099264

Jake D Thiessen, PHD

Practitioner Marriage & Family Therapist Mechanicsburg, PA

Practice location

Address: 5006 Lenker St, Mechanicsburg, PA 17050-2440
Phone: (717) 730-0733
Fax: (717) 730-0696
Mailing address: 105 Yellow Breeches Dr, Camp Hill, PA 17011-8351

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 000107 (PA)

Other Marriage & Family Therapist providers in Pennsylvania →

Registry record

NPI: 1023099264
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Nov 2005
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.