Individual
COTY NOLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
255 S 17TH ST, PHILADELPHIA, PA 19103-6231
(770) 490-3208
Mailing address
4631 LOCUST ST APT A, PHILADELPHIA, PA 19139-4415
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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