Organization
COMPREHENSIVE COUNSELING SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA JOHNSON (OFFICE MANAGER)
(215) 491-6143
Entity
Organization
Contact information
Practice address
1800 JOHN F KENNEDY BLVD, SUITE 605, PHILADELPHIA, PA 19103-7421
(267) 977-0850
(215) 322-6067
Mailing address
1800 JOHN F KENNEDY BLVD, SUITE 605, PHILADELPHIA, PA 19103-7421
(267) 977-0850
(215) 491-6144
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005921L
PA
Other
Enumeration date
09/14/2006
Last updated
02/02/2012
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