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Organization
MEDIA CHILD AND FAMILY ASSOCIATES LLC
Active
Organization
MEDIA CHILD AND FAMILY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN CORROCHER LPC, LMFT (OWNER)
(610) 348-6439
Entity
Organization
Contact information
Practice address
42 E FRONT ST, MEDIA, PA 19063-2912
(610) 348-6439
(610) 892-2774
Mailing address
42 E FRONT ST, MEDIA, PA 19063-2912
(610) 348-6439
(610) 892-2774
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC004837
PA
106H00000X
Marriage & Family Therapist
Primary
MF000595
PA
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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