Provider Demographics
NPI:1053883991
Name:JAMES, JENNA MARIE (ATR-BC, LPC)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:MARIE
Last Name:JAMES
Suffix:
Gender:F
Credentials:ATR-BC, LPC
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:MARIE
Other - Last Name:GENTZLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5541 WALNUT STREET
Mailing Address - Street 2:STE 205
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232
Mailing Address - Country:US
Mailing Address - Phone:412-564-3087
Mailing Address - Fax:
Practice Address - Street 1:5541 WALNUT STREET
Practice Address - Street 2:STE 205
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232
Practice Address - Country:US
Practice Address - Phone:412-564-3087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-17
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010927101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health