Individual provider · Type 1 NPI

Johanna Agnew

Professional Counselor · Philadelphia, PA

NPI number 1063054484 Active

Practice location

1206 E Palmer St Apt 1
Philadelphia, PA 19125-3360

Call (215) 237-0750 Map

Mailing address

3443 Livingston St
Philadelphia, PA 19134-5320

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPC009917 (PA)

Professional Counselor: Definition to come...

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About NPI 1063054484

Johanna Agnew's National Provider Identifier is 1063054484, issued on Oct 17, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 17, 2019.