Individual provider · Type 1 NPI

Alphonso G. Gentry, MSW

Mental Health Counselor · Philadelphia, PA

NPI number 1154501666 Active

Practice location

2514 N Broad St
Philadelphia, PA 19132-4013

Fax (215) 599-2883

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1154501666

Alphonso G. Gentry, MSW's National Provider Identifier is 1154501666, issued on Nov 13, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 13, 2007.