Organization
SYMMETRY TRANSITION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY ANN PAKECH LCSW, LCADC (VP OF CLINICAL SERVICES)
(215) 370-4325
Entity
Organization
Contact information
Practice address
1436 S 2ND ST, PHILADELPHIA, PA 19147-6104
(215) 370-4325
Mailing address
2208 S 3RD ST, PHILADELPHIA, PA 19148-3301
(215) 605-3998
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CW017139
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CW017139
PA
101YM0800X
Mental Health Counselor
CW017139
PA
101YP2500X
Professional Counselor
CW017139
PA
102L00000X
Psychoanalyst
CW017139
PA
1041C0700X
Clinical Social Worker
CW017139
PA
261QM0850X
Adult Mental Health Clinic/Center
Primary
CW017139
PA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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