Individual
AMY TRASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 W COULTER ST, PHILADELPHIA, PA 19144-3402
(215) 849-2112
Mailing address
100 W COULTER ST, PHILADELPHIA, PA 19144-3402
(215) 849-2112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/18/2015
Last updated
01/24/2023
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