Organization
MEDIA CHILD AND FAMILY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN CORROCHER LPC, LMFT (OWNER)
(610) 348-6439
Entity
Organization
Contact information
Practice address
42 E FRONT ST, MEDIA, PA 19063-2912
(610) 348-6439
(610) 892-2774
Mailing address
42 E FRONT ST, MEDIA, PA 19063-2912
(610) 348-6439
(610) 892-2774
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC004837
PA
106H00000X
Marriage & Family Therapist
Primary
MF000595
PA
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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