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NPI Code Detail

MEDICARE: KRISTOPHER C WUEBBLING LPC, ATR-BC, CAADC

MEDICARE:   KRISTOPHER C WUEBBLING  LPC, ATR-BC, CAADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor12442PA
2221700000XArt Therapist18-018
3101YP2500XProfessional CounselorPC011367PA

General Provider Information

NPI Number : 1821629239
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTOPHER C WUEBBLING LPC, ATR-BC, CAADC
Provider Business Mailing Address
First Line : 1735 MARKET ST STE A307
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-7501
Country : US
Telephone Number : 267-209-0010
Fax Number : 267-930-6250
Provider Business Practice Location Address
First Line : 1735 MARKET ST STE A307
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-7501
Country : US
Telephone Number : 267-209-0010
Fax Number : 267-930-6250
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2020
Last Update Date : 11/10/2021

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Directions to “ KRISTOPHER C WUEBBLING LPC, ATR-BC, CAADC” Practice Location

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