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Organization
WALNUT PSYCHOTHERAPY CENTER
Active
Organization
WALNUT PSYCHOTHERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL SNELL (PRACTICE MANAGER)
(215) 545-5402
Entity
Organization
Contact information
Practice address
230 S BROAD ST STE 2050, PHILADELPHIA, PA 19102-4121
(215) 563-7863
(215) 563-5815
Mailing address
230 S BROAD ST STE 2050, PHILADELPHIA, PA 19102-4121
(215) 563-7863
(215) 563-5815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CW016319
PA
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/10/2015
Last updated
02/12/2026
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