Individual
GRACE KELLY MCCAUGHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
922 ANN DR, FEASTERVILLE TREVOSE, PA 19053-6175
(267) 616-1111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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