Individual provider · Type 1 NPI

Philiphia Minor

Mental Health Counselor · Richmond, CA

NPI number 1649529553 Active

Practice location

4175 Lakeside Dr
Richmond, CA 94806-5774

Fax (510) 222-7085

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1649529553

Philiphia Minor's National Provider Identifier is 1649529553, issued on Sep 6, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Richmond, CA. The record was last updated on Sep 6, 2012.