Individual
ELISA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
831 N 15TH ST, PHILADELPHIA, PA 19130-2378
(717) 799-5305
Mailing address
831 N 15TH ST, PHILADELPHIA, PA 19130-2378
(717) 799-5305
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC011017
PA
Other
Enumeration date
08/30/2022
Last updated
01/20/2023
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