Organization
EVERGREEN COUNSELING AND PSYCHOLOGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE MCGUIRE PSY.D. (CLINICAL DIRECTOR)
(215) 247-5400
Entity
Organization
Contact information
Practice address
8705 GERMANTOWN AVE STE 3, PHILADELPHIA, PA 19118-2720
(215) 247-5400
Mailing address
8705 GERMANTOWN AVE STE 3, PHILADELPHIA, PA 19118-2720
(215) 247-5400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
PS016945
PA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/08/2013
Last updated
06/06/2024
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