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Individual

DANIELLE ABBEY BOURGEON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LAPC, CRC

Contact information

Practice address
3550 DARBY RD, HAVERFORD, PA 19041-1018
(484) 580-9213
Mailing address
100 S BROAD ST STE 1930, PHILADELPHIA, PA 19110-1025
(484) 380-5727

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC000552
PA
225C00000X
Rehabilitation Counselor

Other

Enumeration date
09/21/2024
Last updated
05/05/2026
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