Provider Demographics
NPI:1679075329
Name:LAINO, JACLYNN (LPC)
Entity type:Individual
Prefix:
First Name:JACLYNN
Middle Name:
Last Name:LAINO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1477 ROCKWELL RD
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-2623
Mailing Address - Country:US
Mailing Address - Phone:215-919-0723
Mailing Address - Fax:
Practice Address - Street 1:1477 ROCKWELL RD
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-2623
Practice Address - Country:US
Practice Address - Phone:215-919-0723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-07
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010216101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health