Individual
MS. AMANDA PITCHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
1518 WALNUT ST STE 1502, PHILADELPHIA, PA 19102-3408
(856) 986-1150
(215) 845-5165
Mailing address
1518 WALNUT ST STE 1502, PHILADELPHIA, PA 19102-3408
(856) 986-1150
(215) 845-5165
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC010463
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619334158
NON MEDICARE/MEDICAID
—
Enumeration date
01/27/2016
Last updated
10/05/2022
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