Individual
ANASTASIA BABOUCHKINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CHETWYND DR STE 201, BRYN MAWR, PA 19010-1453
(610) 233-9312
Mailing address
124 WALNUT ST, KING OF PRUSSIA, PA 19406-2534
(610) 233-9312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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