Organization
EVERGREEN COUNSELING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW R. VOGELSON PH.D. (DIRECTOR)
(215) 247-5400
Entity
Organization
Contact information
Practice address
7600 STENTON AVE, SUITE 1F, PHILADELPHIA, PA 19118-3231
(215) 247-5400
(215) 247-5175
Mailing address
7600 STENTON AVE, SUITE 1F, PHILADELPHIA, PA 19118-3231
(215) 247-5400
(215) 247-5175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2317336000
PERSONAL CHOICE
PA
01
—
5537312
AETNA
PA
Enumeration date
12/19/2006
Last updated
08/28/2013
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