Individual
MRS. AMY LYN KESSLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,MT-BC,LPC
Contact information
Practice address
850 N 11TH ST, PHILADELPHIA, PA 19123-1957
(215) 769-1114
Mailing address
850 N 11TH ST, PHILADELPHIA, PA 19123-1957
(215) 769-1114
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC010998
PA
Other
Enumeration date
01/10/2019
Last updated
06/17/2019
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