Organization
VMF THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA FAJOTINA LCSW (OWNER, THERAPIST)
(267) 518-7070
Entity
Organization
Contact information
Practice address
2253 MENLO AVE, GLENSIDE, PA 19038-4739
(267) 518-7070
Mailing address
2253 MENLO AVE, GLENSIDE, PA 19038-4739
(267) 518-7070
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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