Individual
DIANA HAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, ATR-BC, MA
Contact information
Practice address
1901 S BROAD ST # 3F, PHILADELPHIA, PA 19148-2216
(215) 800-4283
Mailing address
1901 S BROAD ST # 3F, PHILADELPHIA, PA 19148-2216
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC014104
PA
221700000X
Art Therapist
21-161
PA
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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