Individual
AMIA HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
600 N JACKSON ST STE 201, MEDIA, PA 19063-2574
(610) 585-0307
Mailing address
518 GREENHILL LN, PHILADELPHIA, PA 19128-1061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC017074
PA
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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