Individual
JOANNA BIENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5515 WISSAHICKON AVE, APT D.403, PHILADELPHIA, PA 19144-4554
(215) 205-3421
Mailing address
5515 WISSAHICKON AVE, APT D.403, PHILADELPHIA, PA 19144-4554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CW016066
PA
1041C0700X
Clinical Social Worker
Primary
CW016066
PA
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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