Individual
ANGELICA DIVINE BUTLER-LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 WOODLAND AVE, PHILADELPHIA, PA 19143-5607
(215) 724-4700
(215) 724-4742
Mailing address
432 N 6TH ST, PHILADELPHIA, PA 19123-4004
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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