Individual provider · Type 1 NPI

Mauro Lucio Defreitas Roberto, MHP

Mental Health Counselor · Philadelphia, PA

NPI number 1548031164 Active

Practice location

5043 Frankford Ave
Philadelphia, PA 19124-2644

Call (215) 744-4343 Map

Fax (215) 744-8731

Mailing address

6317 Newtown Ave
Philadelphia, PA 19111-5608

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1548031164

Mauro Lucio Defreitas Roberto, MHP's National Provider Identifier is 1548031164, issued on Jan 11, 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 Jan 11, 2024.