Individual
STEPHANIE LOEBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
225 E CITY AVE, SUITE 15, BALA CYNWYD, PA 19004-1704
(484) 430-4200
Mailing address
255 E. CITY AVENUE, SUITE 15, BALA CYNWYD, PA 19004
(484) 430-4200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0001093481
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
26NR15196500
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RN665405
PA
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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