Individual
CRISTHIAN DANTAGNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., LPC
Contact information
Practice address
255 S 17TH ST STE 1010, PHILADELPHIA, PA 19103-6210
(610) 892-3800
Mailing address
1055 E BALTIMORE PIKE STE 300, MEDIA, PA 19063-5173
(610) 892-3800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC006813
PA
101YP2500X
Professional Counselor
PC006813
PA
Other
Enumeration date
05/28/2015
Last updated
03/27/2024
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