Doctor Name: | JOANN MCCONDICHIE |
NPI Number: | 1023322062 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSW,CADC |
License Number: | |
Business Practice Address: | 2201 Chapel Ave W Cherry Hill, NJ - 080022048 |
Business Phone Number: | 8564886588 |
Business Fax Number: | 8564886454 |
Mailing Address: | 2201 Chapel Ave W, CHERRY HILL |
State: | NJ |
Postal Code: | 080022048 |
Phone Number: | 8564886588 |
Fax Number: | 8564886454 |
NPI Enumeration Date: | 08/02/2010 |
NPI Last Update Date: | 08/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |