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Organization
LIFESPAN COUNSELING AT THE KIDS COUCH INC LLC
Active
Organization
LIFESPAN COUNSELING AT THE KIDS COUCH INC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA YATZUS LPCMH (EXECUTIVE DIRECTOR)
(302) 384-8222
Entity
Organization
Contact information
Practice address
5700 KIRKWOOD HWY, SUITE 203, WILMINGTON, DE 19808-4857
(302) 384-8222
(302) 407-6698
Mailing address
5700 KIRKWOOD HWY, SUITE 203, WILMINGTON, DE 19808-4857
(302) 384-8222
(302) 407-6698
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0000362
DE
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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