Individual
CAREN BOUKALIS CISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1489 BALTIMORE PIKE STE 250, SPRINGFIELD, PA 19064-3974
(610) 544-2110
Mailing address
1489 BALTIMORE PIKE STE 250, SPRINGFIELD, PA 19064-3974
(610) 544-2110
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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