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Individual

CHARLOTTE ANDREWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LBS, LPC

Contact information

Practice address
6703 GERMANTOWN AVE # 210-6, PHILADELPHIA, PA 19119-2109
(267) 586-1172
Mailing address
5025 N 15TH ST APT 209, PHILADELPHIA, PA 19141-2202
(267) 586-1172

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
PC010119
PA
103K00000X
Behavior Analyst
BH003593
PA
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
02/08/2018
Last updated
03/17/2018
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