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Ian Macdonald
Professional Counselor in Paoli, Pennsylvania
NPI 1962508085

Ian Macdonald is a Professional Counselor based in Paoli, PA and is specialized in Professional. Ian Macdonald practices in Paoli, PA. The NPI Number for Ian Macdonald is 1962508085 and holds a License No. PC003916 (Pennsylvania).

The current practice location address for Ian Macdonald is 1440 Russell Rd, Paoli, PA and can be reached out via phone at 610-644-6464.

Location: 1440 Russell Rd, Paoli, PA, 19301-1236
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962508085
Provider Name
Ian Macdonald
Credential
Provider Entity Type
Individual
Gender
Male
Address
1440 Russell Rd, Paoli, PA, 19301-1236
Phone Number
610-644-6464
Fax Number
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2678046000 01 PA IBC
institution
Provider Business Practice Location Address Details
Address
1440 Russell Rd
City
Paoli
State
Pennsylvania
Zip
19301-1236
Phone Number
610-644-6464
Fax Number
person
Provider Business Mailing Address Details
Address
1440 Russell Rd
City
Paoli
State
Pennsylvania
Zip
19301-1236
Phone Number
610-644-6464
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
PC003916 (Pennsylvania)
Definition
Definition to come...
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