Individual
MRS. INTISSAR A BENHALIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
310 N MATLACK ST, WEST CHESTER, PA 19380-2620
(610) 696-4900
Mailing address
310 N MATLACK ST, WEST CHESTER, PA 19380-2620
(610) 696-4900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW129250
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100743608
—
PA
Enumeration date
12/05/2012
Last updated
12/05/2012
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