Organization
CARILLON COUNSELING, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN D GOOD LPC, ACS (PRESIDENT/ PSYCHOTHERAPIST)
(610) 316-3515
Entity
Organization
Contact information
Practice address
315 GATES ST, PHILADELPHIA, PA 19128-4618
(610) 316-3515
Mailing address
315 GATES ST, PHILADELPHIA, PA 19128-4618
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC006473
PA
Other
Enumeration date
04/19/2015
Last updated
04/19/2015
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