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Mr. Benjamin John Cisroki IV, BSW
Counselor in Philadelphia, Pennsylvania
NPI 1013155829

Benjamin John Cisroki IV is a Counselor based in Deptford, PA. Benjamin John Cisroki IV practices in Philadelphia, PA and has the professional credentials of BSW. The NPI Number for Benjamin John Cisroki IV is 1013155829 and holds a License No. (Pennsylvania).

The current practice location address for Benjamin John Cisroki IV is 112 N Broad St, Philadelphia, PA and can be reached out via phone at 215-568-0860 and via fax at 215-568-0769.

Location: 112 N Broad St, Philadelphia, PA, 08096-5401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013155829
Provider Name
Benjamin John Cisroki IV
Credential
BSW
Provider Entity Type
Individual
Gender
Male
Address
112 N Broad St, Philadelphia, PA, 08096-5401
Phone Number
215-568-0860
Fax Number
215-568-0769
Provider Enumeration Date
02/02/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
112 N Broad St
City
Philadelphia
State
Pennsylvania
Zip
19102-1512
Phone Number
215-568-0860
Fax Number
215-568-0769
person
Provider Business Mailing Address Details
Address
112 N Broad St
City
Philadelphia
State
Pennsylvania
Zip
19102-1512
Phone Number
215-568-0860
Fax Number
215-568-0769
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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