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Individual

DR. CHRISTOPHER F FARIELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, MA, LMFT

Contact information

Practice address
4025 CHESTNUT ST, PHILADELPHIA, PA 19104-3054
(215) 382-6680
Mailing address
6 CHIPMUNK LN, MEDIA, PA 19063-4708
(215) 382-6680

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000278
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MF000278
MFT LICENSE
PA
Enumeration date
05/15/2007
Last updated
07/08/2007
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