Individual
NOAH KIYOTAKA SUZUKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1062 E LANCASTER AVE STE 2, BRYN MAWR, PA 19010-1568
(917) 684-9591
Mailing address
331 S SMEDLEY ST APT 11, PHILADELPHIA, PA 19103-6730
(917) 684-9591
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC016093
PA
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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