Individual provider · Type 1 NPI

Irma Modesto, MA

Mental Health Counselor · Philadelphia, PA

NPI number 1992985485 Active

Practice location

2152 N Front St
Philadelphia, PA 19122-1705

Fax (484) 221-9130

Mailing address

2030 W Tilghman St, Suite 105B
Allentown, PA 18104-4354

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1992985485

Irma Modesto, MA's National Provider Identifier is 1992985485, 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.