KYLE MARCUS GILLIAM

PHILADELPHIA, PA
NPI1831871094
Professional NameKYE M GILLIAM
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
Additional Taxonomies101Y00000X Counselor
101YA0400X Counselor, Addiction (Substance Use Disorder)
101YM0800X Counselor, Mental Health
Enumeration Date2023-08-07
Last Update Date2024-05-10
Business Address
KYLE MARCUS GILLIAM LPC
4049 HAVERFORD AVE FL 2
PHILADELPHIA, PA 19104-1745
Phone number: 215-839-6867
Mailing Address
KYLE MARCUS GILLIAM LPC
4049 HAVERFORD AVE APT 2
PHILADELPHIA, PA 19104-1745
Phone number: 267-559-2356