Individual
ANGELA KANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
822 PINE STREET, STE 2F, PHILADELPHIA, PA 19107-6187
(267) 984-8585
Mailing address
822 PINE STREET, STE 2F, PHILADELPHIA, PA 19107-6187
(267) 984-8585
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC014609
PA
Other
Enumeration date
08/07/2018
Last updated
03/27/2024
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