Individual
MR. JEFFREY COULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
11732 DENMAN ROAD, PHILADELPHIA, PA 19154
(215) 637-6830
Mailing address
11732 DENMAN RD, PHILADELPHIA, PA 19154-3616
(215) 637-6830
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC008115
PA
Other
Enumeration date
08/18/2017
Last updated
07/21/2022
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