Individual provider · Type 1 NPI

Mark O'Dwyer, LPC

Professional Counselor · Bala Cynwyd, PA

NPI number 1013258763 Active

Practice location

1 Bala Ave, Suite 110
Bala Cynwyd, PA 19004-3212

Mailing address

315 Gates St
Philadelphia, PA 19128-4618

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XPC00006787 (PA)
Professional Counselor Primary 101YP2500XPC00006787 (PA)

Professional Counselor: Definition to come...

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About NPI 1013258763

Mark O'Dwyer, LPC's National Provider Identifier is 1013258763, issued on Mar 5, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bala Cynwyd, PA. The record was last updated on Aug 1, 2016.