| Canopy Counseling Unlimited | |
|
210 W Front St Ste 214 Media PA 19063-3149 | |
| (610) 229-9029 | |
| Not Available |
| Full Name | Canopy Counseling Unlimited |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 210 W Front St Ste 214, Media, Pennsylvania |
| Authorized Official Name and Position | Carol M Koehler (OWNER) |
| Authorized Official Contact | 6102299029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canopy Counseling Unlimited 8 Stirling Way Chadds Ford PA 19317-9413 Ph: (610) 812-6881 | Canopy Counseling Unlimited 210 W Front St Ste 214 Media PA 19063-3149 Ph: (610) 229-9029 |
| NPI Number | 1285259259 |
|---|---|
| Provider Enumeration Date | 06/15/2020 |
| Last Update Date | 06/15/2020 |
| Certification Date | 06/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285259259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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