Council For Relationships | |
4025 Chestnut St 1st Floor Philadelphia PA 19104-3054 | |
(215) 382-6680 | |
(215) 386-1743 |
Full Name | Council For Relationships |
---|---|
Speciality | Marriage & Family Therapist |
Location | 4025 Chestnut St, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Margaret S Roth (SENIOR STAFF THERAPIST) |
Authorized Official Contact | 2153826680 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Council For Relationships 1094 Tinkerhill Rd Malvern PA 19355-7603 Ph: (610) 935-7393 | Council For Relationships 4025 Chestnut St 1st Floor Philadelphia PA 19104-3054 Ph: (215) 382-6680 |
NPI Number | 1245447655 |
---|---|
Provider Enumeration Date | 05/16/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245447655 | NPI | - | NPPES |
MF000049 | Other | PA | MFT LICENSE NUMBER |
27093 | Other | PA | AAMFT ID NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MF000049 (Pennsylvania) | Primary |
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