Individual
GRACE E MASSIMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. ED, NCC
Contact information
Practice address
1101 E HECTOR STREET, CONSHOHOCKEN, PA 19428
(215) 666-2048
Mailing address
1101 E HECTOR STREET, CONSHOHOCKEN, PA 19428
(215) 666-2048
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1428778
PA
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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