Individual
JAMIE HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6218 N 10TH ST # A, PHILADELPHIA, PA 19141-3802
(267) 922-3468
Mailing address
1120 W DAUPHIN ST, PHILADELPHIA, PA 19133-1018
(267) 922-3468
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
174400000X
Specialist
Primary
—
—
225800000X
Recreation Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/12/2023
Last updated
04/13/2023
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