Individual provider · Type 1 NPI

Johnston Hammond Tisdale, MA, NCC

Counselor · Philadelphia, PA

NPI number 1316715477 Active

Practice location

219 E Willow Grove Ave Apt L2
Philadelphia, PA 19118-2929

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 1316715477

Johnston Hammond Tisdale, MA, NCC's National Provider Identifier is 1316715477, issued on Dec 18, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 18, 2023.