Individual
JAMES LAVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, MT-BC
Contact information
Practice address
1518 WALNUT ST STE 1502, PHILADELPHIA, PA 19102-3408
(215) 326-9173
Mailing address
1424 FLAT ROCK RD, PENN VALLEY, PA 19072-1216
(267) 736-8068
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC018375
PA
225A00000X
Music Therapist
17450
PA
Other
Enumeration date
10/10/2022
Last updated
04/06/2025
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