Provider Demographics
NPI:1861082562
Name:NOCELLA, JESSI (MS, LPC)
Entity type:Individual
Prefix:
First Name:JESSI
Middle Name:
Last Name:NOCELLA
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 SANDY CIR
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:17345-1535
Mailing Address - Country:US
Mailing Address - Phone:717-808-7569
Mailing Address - Fax:
Practice Address - Street 1:20 SANDY CIR
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:PA
Practice Address - Zip Code:17345-1535
Practice Address - Country:US
Practice Address - Phone:717-808-7569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005402101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health