| Jlg Hudak Llc | |
|
720 Woodland Rd Bradfordwoods PA 15015-1328 | |
| (412) 568-3801 | |
| Not Available |
| Full Name | Jlg Hudak Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 720 Woodland Rd, Bradfordwoods, Pennsylvania |
| Authorized Official Name and Position | Jennifer N Hudak (FOUNDER/CEO) |
| Authorized Official Contact | 4125683801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jlg Hudak Llc 1150 First Ave Ste 511 King Of Prussia PA 19406-1316 Ph: () - | Jlg Hudak Llc 720 Woodland Rd Bradfordwoods PA 15015-1328 Ph: (412) 568-3801 |
| NPI Number | 1578274155 |
|---|---|
| Provider Enumeration Date | 12/05/2022 |
| Last Update Date | 05/14/2024 |
| Certification Date | 05/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578274155 | NPI | - | NPPES |
| PC013866 | Other | PA | COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OCCU |
| PRC200001358 | Other | DC | THE GOVERNMENT OF THE DISTRICT OF COLUMBIA DEPARTMENT OF HEALTH BOARD OF PROFESS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |