Organization
OLD CITY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY HOLTSCLAW (OWNER)
(215) 486-6225
Entity
Organization
Contact information
Practice address
124 CHESTNUT ST STE 16, PHILADELPHIA, PA 19106-3009
(215) 486-6225
Mailing address
124 CHESTNUT ST STE 16, PHILADELPHIA, PA 19106-3009
(215) 486-6225
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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