person
Kyle Marcus Gilliam, MED,NCC
Addiction (Substance Use Disorder) Counselor in Philadelphia, Pennsylvania
NPI 1831871094

Kyle Marcus Gilliam is an Addiction (Substance Use Disorder) Counselor based in Philadelphia, PA and is specialized in Addiction (Substance Use Disorder). Kyle Marcus Gilliam practices in Philadelphia, PA and has the professional credentials of MED,NCC. The NPI Number for Kyle Marcus Gilliam is 1831871094 and holds a License No. (Pennsylvania).

The current practice location address for Kyle Marcus Gilliam is 4049 Haverford Ave Apt 2, Philadelphia, PA and can be reached out via phone at 215-839-6867.

Location: 4049 Haverford Ave Apt 2, Philadelphia, PA, 19104-1745
person
Provider Profile Details
NPI Number
1831871094
Provider Name
Kyle Marcus Gilliam
Credential
MED,NCC
Provider Entity Type
Individual
Gender
Male
Address
4049 Haverford Ave Apt 2, Philadelphia, PA, 19104-1745
Phone Number
215-839-6867
Fax Number
Provider Enumeration Date
08/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4049 Haverford Ave Apt 2
City
State
Zip
19104-1745
Phone Number
215-839-6867
Fax Number
person
Provider Business Mailing Address Details
Address
4049 Haverford Ave Apt 2
City
State
Zip
19104-1745
Phone Number
215-839-6867
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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