Individual
YACOB T TEKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3637 CHESTNUT ST, PHILADELPHIA, PA 19104-2612
(224) 636-2303
Mailing address
3624 MARKET ST FL 1, PHILADELPHIA, PA 19104-2614
(224) 636-2303
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS019073
PA
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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