Individual
BENJAMIN FRANKLIN NICHOLSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT-BC, LPC
Contact information
Practice address
2420 S MOLE ST, PHILADELPHIA, PA 19145-4409
(413) 233-6261
Mailing address
2420 S MOLE ST, PHILADELPHIA, PA 19145-4409
(413) 233-6261
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC012049
PA
225A00000X
Music Therapist
—
—
Other
Enumeration date
10/03/2021
Last updated
10/03/2021
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