Organization
CREATIVE COUNSELING AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER J CARBO LPC (CO-OWNER)
(484) 571-8919
Entity
Organization
Contact information
Practice address
47 MARCHWOOD RD, SUITE 2A-8, EXTON, PA 19341-1835
(484) 571-8919
Mailing address
905 CHARLESTON GRN, MALVERN, PA 19355-2457
(484) 571-8919
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
CW 015583
PA
251S00000X
Community/Behavioral Health Agency
Primary
PC007162
PA
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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