Individual
DANIEL WILFRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 SANSOM ST, PHILADELPHIA, PA 19103-5234
(215) 563-7863
Mailing address
604 ANNIN ST, PHILADELPHIA, PA 19147-4809
(757) 641-6995
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC001488
PA
101YM0800X
Mental Health Counselor
MHC00343-A
RI
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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