Individual
GRACE LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2217 N WATERLOO ST, PHILADELPHIA, PA 19133-3743
(407) 451-9244
Mailing address
701 E CATHEDRAL RD STE 45, PHILADELPHIA, PA 19128-2128
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC017910
PA
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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