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Organization
MAIN LINE COUNSELING CENTER, LLC
Active
Organization
MAIN LINE COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL CHANDLER LCSW (LICENSED CLINICAL SOCIAL WORKER)
(610) 664-2524
Entity
Organization
Contact information
Practice address
104 1/2 FORREST AVE, SUITE 27, NARBERTH, PA 19072-2220
(610) 664-2524
Mailing address
104 1/2 FORREST AVE, SUITE 27, NARBERTH, PA 19072-2220
(610) 664-2524
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC006228
PA
1041C0700X
Clinical Social Worker
Primary
CW017261
PA
1041C0700X
Clinical Social Worker
CW017311
PA
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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