Individual
BRENDAN LEONARD RYBALTOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 S BROAD ST STE 402, PHILADELPHIA, PA 19102-4108
(215) 282-3004
Mailing address
781 N JUDSON ST, PHILADELPHIA, PA 19130-2507
(215) 282-3004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC001735
PA
101YP2500X
Professional Counselor
Primary
APC001735
PA
Other
Enumeration date
09/23/2025
Last updated
02/10/2026
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