Individual
DESIREE A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7012 FORREST AVE, PHILADELPHIA, PA 19138-2006
(267) 457-4798
Mailing address
7012 FORREST AVE, PHILADELPHIA, PA 19138-2006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC017330
PA
Other
Enumeration date
01/28/2019
Last updated
03/28/2025
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