Organization
COMMITMENT 5
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAIDA E GUADALUPE LPC (CLINICAL THERAPIST)
(484) 794-4966
Entity
Organization
Contact information
Practice address
4641 POTTSVILLE PIKE STE 101B, READING, PA 19605-9707
(484) 794-4966
Mailing address
102 S WAVERLY ST, READING, PA 19607-2643
(484) 794-4966
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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