Individual provider · Type 1 NPI

Mary Fung-A-Fat, LPC

Mental Health Counselor · Philadelphia, PA

NPI number 1710674635 Active

Practice location

100 S Broad St Ste 1920
Philadelphia, PA 19110-1064

Mailing address

2291 SW 164th Ave
Miramar, FL 33027-4480

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPC019903 (PA)

Mental Health Counselor: Definition to come...

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About NPI 1710674635

Mary Fung-A-Fat, LPC's National Provider Identifier is 1710674635, issued on Apr 20, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 26, 2026.