Individual
CHARLES SOLOMON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5409 DIAMOND ST, PHILADELPHIA, PA 19131-3110
(215) 498-4196
Mailing address
5409 DIAMOND ST, PHILADELPHIA, PA 19131-3110
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC008936
PA
103K00000X
Behavior Analyst
BH002313
PA
Other
Enumeration date
08/28/2014
Last updated
04/14/2022
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