Individual
KAITLYN FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8201 HENRY AVE APT J28, PHILADELPHIA, PA 19128-2217
(727) 599-9916
Mailing address
8201 HENRY AVE APT J28, PHILADELPHIA, PA 19128-2217
(727) 599-9916
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/03/2016
Last updated
05/09/2020
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