Individual
JILL REGALBUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12620 RICHTON RD, PHILADELPHIA, PA 19154-1436
(215) 858-1230
Mailing address
12620 RICHTON RD, PHILADELPHIA, PA 19154-1436
(215) 858-1230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CW023859
PA
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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