Organization
IRIE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER C. LAVINE LPC (OWNER/PRACTITIONER)
(484) 938-8682
Entity
Organization
Contact information
Practice address
697 READING AVE, WEST READING, PA 19611-1009
(484) 938-8682
(610) 750-5550
Mailing address
697 READING AVE, WEST READING, PA 19611-1009
(484) 938-8682
(610) 750-5550
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
12/23/2022
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