Provider Demographics
NPI:1134662273
Name:DONFRANCESCO, KAYLA JOY (LPC)
Entity Type:Individual
Prefix:MS
First Name:KAYLA
Middle Name:JOY
Last Name:DONFRANCESCO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:353 NEW DEHAVEN ST
Mailing Address - Street 2:
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-2635
Mailing Address - Country:US
Mailing Address - Phone:401-829-8266
Mailing Address - Fax:
Practice Address - Street 1:63 W LANCASTER AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-1413
Practice Address - Country:US
Practice Address - Phone:610-314-7996
Practice Address - Fax:570-371-0344
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-21
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009257101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health