Individual provider · Type 1 NPI

Akolla Divine Etuge

Mental Health Counselor · Philadelphia, PA

NPI number 1306693023 Active

Practice location

1952 E Allegheny Ave
Philadelphia, PA 19134-3122

Call (215) 291-8151 Map

Mailing address

3255 Kensington Ave
Philadelphia, PA 19134-1935

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1306693023

Akolla Divine Etuge's National Provider Identifier is 1306693023, issued on May 1, 2024. 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 1, 2024.