Organization
MARI COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAQUEL EMDUR PSYD, LPC, MT-BC (LICENSED PSYCHOLOGIST)
(215) 948-4227
Entity
Organization
Contact information
Practice address
63 W LANCASTER AVE, ARDMORE, PA 19003-1413
(215) 948-4227
(267) 200-0921
Mailing address
PO BOX 34465, PHILADELPHIA, PA 19101-4465
(215) 948-4227
(267) 200-0921
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
11/13/2023
Last updated
01/04/2024
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