Individual
DEMETRIUS THOMAS JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
5725 BROOMALL ST # A, PHILADELPHIA, PA 19143-4520
(347) 552-4411
Mailing address
5725 BROOMALL ST # A, PHILADELPHIA, PA 19143-4520
(347) 552-4411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1841919115
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841919115
—
PA
Enumeration date
03/11/2026
Last updated
03/11/2026
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