Individual
BRIANNA INTILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N 18TH ST STE 300, PHILADELPHIA, PA 19103-2707
(267) 495-4154
Mailing address
123 S BROAD ST STE 1835, PHILADELPHIA, PA 19109-1008
(267) 495-4154
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/17/2022
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