Organization
PENNSYLVANIA INSTITUTE FOR COUPLE AND FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RASHIDA INGRAM PH.D (CEO)
(215) 207-8152
Entity
Organization
Contact information
Practice address
5450 WISSAHICKON AVE APT B1133, PHILADELPHIA, PA 19144-5296
(215) 207-8152
Mailing address
5450 WISSAHICKON AVE APT B1133, PHILADELPHIA, PA 19144-5296
(215) 207-8152
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
171400000X
Health & Wellness Coach
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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