Individual
KRISTAL DEFEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 W LANCASTER AVE, BRYN MAWR, PA 19010-3220
(610) 520-1510
Mailing address
850 W LANCASTER AVE, BRYN MAWR, PA 19010-3220
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
11/18/2019
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