Individual
ANAYO NNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1315 WINDRIM AVE, PHILADELPHIA, PA 19141-2710
(215) 455-3900
Mailing address
2050 E WALNUT LN, PHILADELPHIA, PA 19138-1315
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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