Individual
HANNAH ROSE BORNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1125 SHACKAMAXON ST, PHILADELPHIA, PA 19125-4134
(831) 588-3793
Mailing address
1125 SHACKAMAXON ST, PHILADELPHIA, PA 19125-4134
(831) 588-3793
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00825500
NJ
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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