Individual
HEATHER MCGONIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 WISSAHICKON AVE STE 118, PHILADELPHIA, PA 19144-4248
(267) 597-3600
Mailing address
4700 WISSAHICKON AVE STE 119, PHILADELPHIA, PA 19144-4248
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC011362
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
10/17/2017
Last updated
12/13/2024
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