Organization
CREATIVE PLAY & FAMILY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRENE P PSIHOGIOS LPC, RPT (PSYCHOTHERAPIST)
(484) 802-7557
Entity
Organization
Contact information
Practice address
233 E LANCASTER AVE STE 104, ARDMORE, PA 19003-2321
(215) 483-1360
Mailing address
624 RENZ ST, PHILADELPHIA, PA 19128-1419
(484) 802-7557
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
007248
PA
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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