Individual
NICOLE MOUNTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
309 W GLENSIDE AVE, GLENSIDE, PA 19038-3313
(610) 772-7633
(215) 242-2051
Mailing address
7017 SPRAGUE ST, PHILADELPHIA, PA 19119-1808
(610) 772-7633
(215) 242-2051
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000719
PA
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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