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Individual

ERIC TANKEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.ED., CAADC, LPC

Contact information

Practice address
101 PHOENIXVILLE PIKE, MALVERN, PA 19355
(610) 314-5992
Mailing address
101 PHOENIXVILLE PIKE, MALVERN, PA 19355
(610) 314-5992

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9574
PA
101YM0800X
Mental Health Counselor
Primary
PC009465
PA

Other

Enumeration date
03/17/2017
Last updated
03/17/2017
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