Individual provider · Type 1 NPI

Kina Lori Smallwood-Butts

Mental Health Counselor · Philadelphia, PA

NPI number 1740460237 Active

Practice location

1315 Windrim Ave
Philadelphia, PA 19141-2710

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1740460237

Kina Lori Smallwood-Butts's National Provider Identifier is 1740460237, issued on Nov 13, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 13, 2007.