Individual provider · Type 1 NPI

Leroy Ambrose, MS

Mental Health Counselor · Philadelphia, PA

NPI number 1295171965 Active

Practice location

2514 N. Broad St.
Philadelphia, PA 19132

Call (610) 547-3904 Map

Mailing address

38 Harding Ave
Morton, PA 19070-1503

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1295171965

Leroy Ambrose, MS's National Provider Identifier is 1295171965, issued on May 21, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on May 21, 2013.