is a Professional in Lafayette Hill, Pennsylvania. practices all healthcare services and medical treatments related to Professional. The NPI Number for is 1053422733. The last update date is .
's current location address is 555 Andorra Glen Ct, Lafayette Hill, Pennsylvania. You can contact this provider via phone number 6108282801. The mailing address for is 555 Andorra Glen Ct, Lafayette Hill, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 555 Andorra Glen Ct, Lafayette Hill, Pennsylvania |
| Phone Number | 6108282801 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1053422733 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 555 Andorra Glen Ct |
|---|---|
| City | Lafayette Hill |
| State | Pennsylvania (PA) |
| Post Code | 194442531 |
| Phone Number | 6108282801 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | PC003584 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2361657000 | PERSONAL CHOICE-MHS |
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