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Kellie H Medendorp, LSW
Addiction (Substance Use Disorder) Counselor in Fort Washington, Pennsylvania
NPI 1588163158

Kellie H Medendorp is an Addiction (Substance Use Disorder) Counselor based in Fort Washington, PA and is specialized in Addiction (Substance Use Disorder). Kellie H Medendorp practices in Fort Washington, PA and has the professional credentials of LSW. The NPI Number for Kellie H Medendorp is 1588163158 and holds a License No. (Pennsylvania).

The current practice location address for Kellie H Medendorp is 1035 Virginia Dr Ste 130, Fort Washington, PA and can be reached out via phone at 610-745-4717.

Location: 1035 Virginia Dr Ste 130, Fort Washington, PA, 19034-3103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588163158
Provider Name
Kellie H Medendorp
Credential
LSW
Provider Entity Type
Individual
Gender
Female
Address
1035 Virginia Dr Ste 130, Fort Washington, PA, 19034-3103
Phone Number
610-745-4717
Fax Number
Provider Enumeration Date
02/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1035 Virginia Dr Ste 130
City
Fort Washington
State
Pennsylvania
Zip
19034-3103
Phone Number
610-745-4717
Fax Number
person
Provider Business Mailing Address Details
Address
1035 Virginia Dr Ste 130
City
Fort Washington
State
Pennsylvania
Zip
19034-3103
Phone Number
610-745-4717
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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