Individual
MR. KWABENA BOBIE AMANKWATIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CAC, CCDP
Contact information
Practice address
52 E BROAD ST, BETHLEHEM, PA 18018-5948
(610) 752-6091
(610) 974-9337
Mailing address
52 E BROAD ST, BETHLEHEM, PA 18018-5948
(610) 752-6091
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PC004101
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC
LICENSED PROFESSIONAL COU
PA
Enumeration date
04/26/2007
Last updated
11/20/2009
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