Provider Demographics
NPI:1144510082
Name:SEVIER, JENNIFER (LPC, LCPC, NCC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:SEVIER
Suffix:
Gender:F
Credentials:LPC, LCPC, NCC
Other - Prefix:
Other - First Name:JENN
Other - Middle Name:
Other - Last Name:SEVIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, LCPC, NCC
Mailing Address - Street 1:211 PAULINE DRIVE
Mailing Address - Street 2:#1074
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-1716
Mailing Address - Country:US
Mailing Address - Phone:717-819-9500
Mailing Address - Fax:
Practice Address - Street 1:35 S DUKE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17401-1401
Practice Address - Country:US
Practice Address - Phone:717-819-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-12
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011375101YM0800X, 101YP2500X
MDLC4572101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health