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Alice D Gresham, MA
Counselor in Philadelphia, Pennsylvania
NPI 1891315453

Alice D Gresham is a Counselor based in Philadelphia, PA. Alice D Gresham practices in Philadelphia, PA and has the professional credentials of MA. The NPI Number for Alice D Gresham is 1891315453 and holds a License No. (Pennsylvania).

The current practice location address for Alice D Gresham is 2025 Conlyn St, Philadelphia, PA and can be reached out via phone at 936-662-7478.

Location: 2025 Conlyn St, Philadelphia, PA, 19138-2925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891315453
Provider Name
Alice D Gresham
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
2025 Conlyn St, Philadelphia, PA, 19138-2925
Phone Number
936-662-7478
Fax Number
Provider Enumeration Date
04/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2025 Conlyn St
City
Philadelphia
State
Pennsylvania
Zip
19138-2925
Phone Number
936-662-7478
Fax Number
person
Provider Business Mailing Address Details
Address
2025 Conlyn St
City
Philadelphia
State
Pennsylvania
Zip
19138-2925
Phone Number
936-662-7478
Fax Number
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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