Individual
CHRISTINA KOCOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4720 LARCHWOOD AVE, PHILADELPHIA, PA 19143-2026
(414) 899-6110
Mailing address
4720 LARCHWOOD AVE, PHILADELPHIA, PA 19143-2026
(414) 899-6110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC013310
PA
Other
Enumeration date
05/23/2021
Last updated
05/23/2021
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