Organization
LIFESPAN COUNSELING AT THE KIDS COUCH INC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA YATZUS LPCMH (EXECUTIVE DIRECTOR)
(302) 384-8222
Entity
Organization
Contact information
Practice address
5700 KIRKWOOD HWY, SUITE 203, WILMINGTON, DE 19808-4857
(302) 384-8222
(302) 407-6698
Mailing address
5700 KIRKWOOD HWY, SUITE 203, WILMINGTON, DE 19808-4857
(302) 384-8222
(302) 407-6698
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0000362
DE
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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