Individual
COLLEEN M CIAVOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
491 JOHN YOUNG WAY, SUITE 300, EXTON, PA 19341-2567
(610) 644-6464
(610) 889-0732
Mailing address
1440 RUSSELL RD, PAOLI, PA 19301-1236
(610) 644-6464
(610) 889-0732
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC006753
PA
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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