Search › Pennsylvania › 101YM0800X
Lysa Monique Jenkins-Hayden, LPC, MA, R-DMT
NPI 1700297900 · on the registry since 2014 · sole proprietor
Practice
- Address
- 6310 N 10th St
1st Floor
Philadelphia, PA 19141 - Phone
- (267) 368-6630
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania