Organization
IMAGO LIFE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSANNE G JOHNSON LPC (OWNER/THERAPIST)
(717) 602-9023
Entity
Organization
Contact information
Practice address
8237 THOURON AVE, PHILADELPHIA, PA 19150-2018
(717) 602-9023
(902) 216-8269
Mailing address
160 S PROGRESS AVE STE 3A, HARRISBURG, PA 17109-4636
(717) 602-9023
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC001128
PA LPC LICENSE
PA
Enumeration date
10/18/2024
Last updated
10/22/2024
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