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Individual

PHILIP GERARD GENTILE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
JD, MSW

Contact information

Practice address
6258 ROUTE 209, STROUDSBURG, PA 18360-7159
(610) 653-6993
Mailing address
PO BOX 1698, BETHLEHEM, PA 18016-1698
(610) 653-6993

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor

Other

Enumeration date
01/27/2023
Last updated
01/27/2023
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