Individual
STEPHANIE CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
1695 HILLCREST LN, ASTON, PA 19014-1024
(610) 955-4229
(610) 955-4229
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SW141367
PA
Other
Enumeration date
11/25/2025
Last updated
02/05/2026
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