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Organization
LIFESOURCE COUNSELING AND EDUCATION CENTER, LLC
Active
Organization
LIFESOURCE COUNSELING AND EDUCATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELIN MCNALLY MFT, MED, MS, LPC (OWNER)
(610) 573-6177
Entity
Organization
Contact information
Practice address
2605 DEKALB PIKE, EAST NORRITON, PA 19401-1818
(267) 817-7511
Mailing address
2605 DEKALB PIKE, EAST NORRITON, PA 19401-1818
(267) 817-7511
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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