Individual
CLIFTON VENTOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4232 PARKSIDE AVE, PHILADELPHIA, PA 19104-1021
(215) 878-2198
Mailing address
3741 N 18TH ST, PHILADELPHIA, PA 19140-3532
(267) 761-8413
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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