person
Patricia S Correa-illidge, LSW
Mental Health Counselor in Philadelphia, Pennsylvania
NPI 1598715179

Patricia S Correa-illidge is a Mental Health Counselor based in Philadelphia, PA and is specialized in Mental Health. Patricia S Correa-illidge practices in Philadelphia, PA and has the professional credentials of LSW. The NPI Number for Patricia S Correa-illidge is 1598715179 and holds a License No. SW008617L (Pennsylvania).

The current practice location address for Patricia S Correa-illidge is 4510 Frankford Ave, Philadelphia, PA and can be reached out via phone at 215-831-9882 and via fax at 215-831-9887. You can also correspond with Patricia S Correa-illidge through the mailing address at 432 N 6TH ST, PHILADELPHIA, PA - 19123-4004 (mailing address contact number: 215-925-2400).

Location: 4510 Frankford Ave, Philadelphia, PA, 19123-4004
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Provider Profile Details
NPI Number
1598715179
Provider Name
Patricia S Correa-illidge
Credential
LSW
Provider Entity Type
Individual
Gender
Female
Address
4510 Frankford Ave, Philadelphia, PA, 19123-4004
Phone Number
215-831-9882
Fax Number
215-831-9887
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001663401 01 PA INDEPENDENCE BLUE CROSS
455792000 01 PA MAGELLAN MIS #
institution
Provider Business Practice Location Address Details
Address
4510 Frankford Ave
City
State
Zip
19124-3602
Phone Number
215-831-9882
Fax Number
215-831-9887
person
Provider Business Mailing Address Details
Address
4510 Frankford Ave
City
State
Zip
19124-3602
Phone Number
215-831-9882
Fax Number
215-831-9887
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
SW008617L (Pennsylvania)
Definition
Definition to come...
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