Individual
ANGENA MOMBRUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
100 N 18TH ST, PHILADELPHIA, PA 19103-2707
(484) 450-6598
Mailing address
3700 CONSHOHOCKEN AVE, PHILADELPHIA, PA 19131-2823
(267) 235-8449
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC012626
PA
Other
Enumeration date
10/14/2020
Last updated
07/12/2021
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