Individual provider · Type 1 NPI

Samara Isabella Perez

Counselor · Philadelphia, PA

NPI number 1114618964 Active

Practice location

123 Chestnut St Ste 304
Philadelphia, PA 19106-3059

Fax (215) 399-4128

Mailing address

1601 Spring Garden St Apt M102
Philadelphia, PA 19130-3941

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1114618964

Samara Isabella Perez's National Provider Identifier is 1114618964, issued on May 15, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Philadelphia, PA. The record was last updated on May 15, 2023.