Individual
IMANI Y LUMUMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLINICIAN
Contact information
Practice address
1315 WINDRIM AVENUE, 2ND FL. AOP6C, PHILADELPHIA, PA 19144
(215) 456-2603
(215) 754-0318
Mailing address
3019 N 21ST ST, PHILADELPHIA, PA 19132-1512
(610) 704-5702
(215) 754-0318
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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