Individual provider · Type 1 NPI

John Stanley Raj Chinnaiyan Mathias

Mental Health Counselor · Upper Darby, PA

NPI number 1215578570 Active

Practice location

6930 Market St
Upper Darby, PA 19082-2308

Call (484) 469-4319 Map

Mailing address

160 Bethlehem Pike
Colmar, PA 18915-9790

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XBH001686 (PA)

Mental Health Counselor: Definition to come...

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About NPI 1215578570

John Stanley Raj Chinnaiyan Mathias's National Provider Identifier is 1215578570, issued on Oct 7, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Upper Darby, PA. The record was last updated on Oct 7, 2019.