Individual
HEOREON AN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1517 WALNUT ST # 202, PHILADELPHIA, PA 19102-3001
(215) 642-8968
Mailing address
2011 KIMBALL ST, PHILADELPHIA, PA 19146-2622
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC019041
PA
Other
Enumeration date
09/06/2025
Last updated
10/24/2025
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