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Organization
PENNSYLVANIA INSTITUTE FOR COUPLE AND FAMILY THERAPY
Active
Organization
PENNSYLVANIA INSTITUTE FOR COUPLE AND FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RASHIDA INGRAM PH.D (CEO)
(215) 207-8152
Entity
Organization
Contact information
Practice address
5450 WISSAHICKON AVE APT B1133, PHILADELPHIA, PA 19144-5296
(215) 207-8152
Mailing address
5450 WISSAHICKON AVE APT B1133, PHILADELPHIA, PA 19144-5296
(215) 207-8152
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
171400000X
Health & Wellness Coach
—
NULL
171400000X
Health & Wellness Coach
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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