Individual
GARETH DUFFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
502 DICKINSON ST, PHILADELPHIA, PA 19147-6519
(267) 319-5753
Mailing address
502 DICKINSON ST, PHILADELPHIA, PA 19147-6519
(267) 319-5753
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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