Provider Demographics
NPI:1730731332
Name:TOALE, JILLIAN GARCIA (LPC, CAADC)
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:GARCIA
Last Name:TOALE
Suffix:
Gender:F
Credentials:LPC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:934 CRAFTSMAN RD
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403-5138
Mailing Address - Country:US
Mailing Address - Phone:215-518-7570
Mailing Address - Fax:
Practice Address - Street 1:1166 DEKALB PIKE STE 108
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-1850
Practice Address - Country:US
Practice Address - Phone:267-419-7878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-12
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008735101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional