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Individual

JOHN RAYMOND BORELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LPC

Contact information

Practice address
1005 W 9TH AVE STE B, KING OF PRUSSIA, PA 19406-1202
(610) 892-3800
(484) 704-7198
Mailing address
1005 W 9TH AVE STE B, KING OF PRUSSIA, PA 19406-1202
(610) 892-3800
(484) 704-7198

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC008491
PA
101YP2500X
Professional Counselor
PC008491
PA

Other

Enumeration date
03/04/2013
Last updated
02/20/2024
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