Provider Demographics
NPI:1538310354
Name:DAVIES, CHRISTINE VAUGHAN (BA, MDIV)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:VAUGHAN
Last Name:DAVIES
Suffix:
Gender:F
Credentials:BA, MDIV
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Mailing Address - Street 1:1429 JACKSON ST
Mailing Address - Street 2:3FR APT
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19145-3940
Mailing Address - Country:US
Mailing Address - Phone:551-206-2082
Mailing Address - Fax:
Practice Address - Street 1:112 N BROAD ST
Practice Address - Street 2:RM 821
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1512
Practice Address - Country:US
Practice Address - Phone:215-568-0860
Practice Address - Fax:215-568-0769
Is Sole Proprietor?:No
Enumeration Date:2008-10-10
Last Update Date:2008-10-10
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor