# CROZER KEYSTONE HEALTH SYSTEMS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073938395
- **Authorized official:** STACIE NAWN LPC (CLINICAL SUPERVISOR)
- **Authorized official phone:** (610) 497-7234

## Contact information

- **Practice address:** 2600 W 9TH ST, CHESTER, PA 19013-2040
- **Practice address phone:** (610) 447-2000
- **Mailing address:** 2600 W 9TH ST, CHESTER, PA 19013-2040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2014
- **Last updated:** 02/24/2014