Individual
JEAN-DIDEROT EDGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1100 ADAMS AVE, AUDUBON, PA 19403-2404
(610) 277-3715
Mailing address
672 PARK RD, LANSDALE, PA 19446-5610
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC015950
PA
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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