Kevin J Dial, CRS, CFRS
Peer Specialist in Philadelphia, PA. Individual provider (NPI-1).
NPI number1235907445
StatusActive
Last updated in NPPESDec 18, 2023
Details
- NPI
- 1235907445
- Entity type
- Individual (NPI-1)
- Name
- Kevin J Dial
- Credential
- CRS, CFRS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 18, 2023
- Certification date
- Dec 9, 2023
- Last updated
- Dec 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | 14753 | PA | Yes |
Practice location
5501 Old York RdPhiladelphia, PA 19141-3018
Phone 215-951-8300
Mailing address
5501 Old York RdPhiladelphia, PA 19141-3018
Phone 215-951-8300
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