Individual
AMBER PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2402 BROWNING RD, PENNSAUKEN, NJ 08110-1917
(267) 630-4688
Mailing address
2245 W THOMPSON ST UNIT 2, PHILADELPHIA, PA 19121-4711
(856) 361-4300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SC05924700
NJ
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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