Individual
MR. DORAN STEPHEN COLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4055 RIDGE AVE, APT. 3203, PHILADELPHIA, PA 19129-1576
(267) 307-6659
Mailing address
4055 RIDGE AVE, APT. 3203, PHILADELPHIA, PA 19129-1576
(267) 307-6659
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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