person
Kirsten Custis
Mental Health Counselor in Philadelphia, Pennsylvania
NPI 1790497253

Kirsten Custis is a Mental Health Counselor based in Philadelphia, PA and is specialized in Mental Health. Kirsten Custis practices in Philadelphia, PA. The NPI Number for Kirsten Custis is 1790497253 and holds a License No. (Pennsylvania).

The current practice location address for Kirsten Custis is 8201 Henry Ave Apt G30, Philadelphia, PA and can be reached out via phone at 215-687-0087.

Location: 8201 Henry Ave Apt G30, Philadelphia, PA, 19128-2204
person
Provider Profile Details
NPI Number
1790497253
Provider Name
Kirsten Custis
Credential
Provider Entity Type
Individual
Gender
Female
Address
8201 Henry Ave Apt G30, Philadelphia, PA, 19128-2204
Phone Number
215-687-0087
Fax Number
Provider Enumeration Date
12/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8201 Henry Ave Apt G30
City
State
Zip
19128-2204
Phone Number
215-687-0087
Fax Number
person
Provider Business Mailing Address Details
Address
8201 Henry Ave Apt G30
City
State
Zip
19128-2204
Phone Number
215-687-0087
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Pennsylvania)
Definition
Definition to come...
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