Individual provider · Type 1 NPI

Jeffrey Todd Wimbush

Counselor · Phila, PA

NPI number 1467576769 Active

Practice location

112 N Broad St
Phila, PA 19102-1510

Call (215) 568-0860 Map

Fax (215) 568-0769

Mailing address

1546 S 19th St
Phila, PA 19146-4616

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 1467576769

Jeffrey Todd Wimbush's National Provider Identifier is 1467576769, issued on Mar 19, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Phila, PA. The record was last updated on Jul 8, 2007.