Individual
ALBA LARISSA BLANDINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1080 N DELAWARE AVE, 6TH FLOOR, PHILADELPHIA, PA 19125-4330
(215) 496-0707
(215) 496-0742
Mailing address
2918 POPLAR ST, APT 3, PHILADELPHIA, PA 19130-1130
(215) 380-6773
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC009215
PA
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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