Organization
EVERGREEN THERAPY COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE HOSTETTER (OWNER)
(860) 682-4714
Entity
Organization
Contact information
Practice address
210 E EVERGREEN AVE, PHILADELPHIA, PA 19118-2823
(860) 682-4714
Mailing address
1417 BETHLEHEM PIKE, FLOURTOWN, PA 19031-1904
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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