Individual
AMES RYAN CAPOMACCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
MA, LPC, R-DMT
Contact information
Practice address
350 S YORK RD, HATBORO, PA 19040-3969
(267) 294-5373
Mailing address
350 S YORK RD, HATBORO, PA 19040-3969
(267) 294-5373
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC008164
PA
Other
Enumeration date
05/19/2016
Last updated
07/22/2024
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