| Embracing My Black Pen | |
|
501 Washington Ln Ste 304 Jenkintown PA 19046-3148 | |
| (267) 809-5433 | |
| Not Available |
| Full Name | Embracing My Black Pen |
|---|---|
| Speciality | Counselor - Professional |
| Location | 501 Washington Ln Ste 304, Jenkintown, Pennsylvania |
| Authorized Official Name and Position | Seleme Gilchrist (OWNER) |
| Authorized Official Contact | 2678095433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embracing My Black Pen 7182 N Uber St Philadelphia PA 19138-2116 Ph: () - | Embracing My Black Pen 501 Washington Ln Ste 304 Jenkintown PA 19046-3148 Ph: (267) 809-5433 |
| NPI Number | 1053050344 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 06/03/2022 |
| Certification Date | 06/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053050344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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