Individual
ELISE GAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, CT
Contact information
Practice address
319 VINE STREET, SUITE 110, PHILADELPHIA, PA 19106
(610) 368-5844
Mailing address
319 VINE STREET, SUITE 110, ALTERNATIVE CHOICES, PHILADELPHIA, PA 19106
(610) 368-5844
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC0005161
PA
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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