Individual
ILANA KUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 WALNUT ST STE 1005, PHILADELPHIA, PA 19102-2906
(484) 679-6341
Mailing address
100 N 17TH ST APT 802, PHILADELPHIA, PA 19103-2667
(215) 901-2328
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC020745
PA
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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