Individual
KAITLIN M MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2012 BERKELEY DR, PENNSBURG, PA 18073-1124
(267) 347-3555
Mailing address
2012 BERKELEY DR, PENNSBURG, PA 18073-1124
(267) 347-3555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
CW023402
PA
Other
Enumeration date
02/15/2019
Last updated
10/14/2023
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