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Organization

PHILLY FAMILY LIFE COUNSELING, LLC

Active
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Organization

PHILLY FAMILY LIFE COUNSELING, LLC

Active
Other names
Philly Family Life Counseling, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EUGENE DEVERS LCSW (MANAGING MEMBER OF LLC)
(215) 554-8191
Entity
Organization

Contact information

Practice address
1209 GRANT AVE, SUITE 2F, PHILADELPHIA, PA 19115-3706
(215) 677-3710
(215) 673-2701
Mailing address
1209 GRANT AVE, SUITE 2F, PHILADELPHIA, PA 19115-3706
(215) 677-3710
(215) 673-2701

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
Primary
106H00000X
Marriage & Family Therapist

Other

Enumeration date
09/28/2015
Last updated
12/27/2016
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