Individual
MARY CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CADC
Contact information
Practice address
9140 ACADEMY RD, PHILADELPHIA, PA 19114-2853
(215) 638-5200
Mailing address
4833 HULMEVILLE RD, BENSALEM, PA 19020-3023
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100727865
—
PA
Enumeration date
09/12/2017
Last updated
09/12/2017
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