Individual
AMANDA LOCKERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Contact information
Practice address
525 S 4TH ST STE 471, PHILADELPHIA, PA 19147-1582
(267) 861-3685
Mailing address
4512 TOLBUT ST, PHILADELPHIA, PA 19136-1418
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC015504
PA
Other
Enumeration date
03/23/2023
Last updated
06/15/2023
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