Individual
ALYSSA RENEE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
4500-10 FRANKFORD AVE, 2ND FLOOR, PHILADELPHIA, PA 19124
(215) 831-9882
(215) 831-9887
Mailing address
1401 S 31ST ST, 2ND FLOOR, PHILADELPHIA, PA 19146-3506
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC007717
PA
Other
Enumeration date
02/02/2015
Last updated
11/07/2016
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