Organization
CANOPY COUNSELING UNLIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL M KOEHLER LCSW, BSL (OWNER)
(610) 229-9029
Entity
Organization
Contact information
Practice address
210 W FRONT ST STE 214, MEDIA, PA 19063-3149
(610) 229-9029
Mailing address
8 STIRLING WAY, CHADDS FORD, PA 19317-9413
(610) 812-6881
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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