Individual provider · Type 1 NPI

Kathryn Correll Grentzenberg, LPC

Professional Counselor · Media, PA

NPI number 1366635567 Active

Practice location

36 E Front St
Media, PA 19063-2936

Call (610) 639-7493 Map

Mailing address

654 Woodcrest Ave
Ardmore, PA 19003-1932

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPC003938 (PA)

Professional Counselor: Definition to come...

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About NPI 1366635567

Kathryn Correll Grentzenberg, LPC's National Provider Identifier is 1366635567, issued on Aug 21, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Media, PA. The record was last updated on Aug 21, 2007.