Individual
MS. CARLY JENNIFER MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
255 S 17TH ST STE 2200, PHILADELPHIA, PA 19103-6221
(267) 713-8770
Mailing address
1926 ELLSWORTH ST, PHILADELPHIA, PA 19146-2913
(609) 330-7923
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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