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3900 City Ave Apt A722 Philadelphia PA 19131-2974 | |
| (954) 787-8060 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3900 City Ave Apt A722, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Denise Rodriguez Brown (OWNER) |
| Authorized Official Contact | 9547878060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3900 City Ave Apt A722 Philadelphia PA 19131-2974 Ph: () - | 3900 City Ave Apt A722 Philadelphia PA 19131-2974 Ph: (954) 787-8060 |
| NPI Number | 1225624299 |
|---|---|
| Provider Enumeration Date | 12/14/2020 |
| Last Update Date | 11/26/2024 |
| Certification Date | 11/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225624299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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