Organization
TRUE NORTH COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLAZE MITCHELL KOTLER (OFFICE ADMINISTRATOR)
(484) 643-2610
Entity
Organization
Contact information
Practice address
3522 SILVERSIDE RD STE 32, WILMINGTON, DE 19810-4915
(484) 354-4499
Mailing address
881 BALTIMORE PIKE, CHADDS FORD, PA 19317-9351
(484) 354-4499
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14202873
CAQH
—
Enumeration date
01/27/2021
Last updated
01/27/2021
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