Organization
CAROLINA CORONADO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLINA CORONADO MA LPC (PRESIDENT)
(215) 254-4873
Entity
Organization
Contact information
Practice address
4825 A ST, PHILADELPHIA, PA 19120-3952
(215) 900-8544
Mailing address
256 E ELEANOR ST, PHILADELPHIA, PA 19120-3908
(215) 900-8544
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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