Individual
CLIFFORD SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPS
Contact information
Practice address
7013 TORRESDALE AVE, PHILADELPHIA, PA 19135-1914
(215) 694-0666
Mailing address
5444 W BERKS ST FL 1, PHILADELPHIA, PA 19131-3119
(267) 566-4435
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11841
PA
Other
Enumeration date
11/14/2024
Last updated
11/19/2024
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