LUIS ALBERTO GONGORA

PHILADELPHIA, PA
NPI1154764645
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-04-15
Last Update Date2013-04-15
Business Address
Dr. LUIS ALBERTO GONGORA
537 E ALLEGHENY AVE APT/SUITE
PHILADELPHIA, PA 19134-2328
Phone number: 215-291-9500
Mailing Address
Dr. LUIS ALBERTO GONGORA
537 E ALLEGHENY AVE APT/SUITE
PHILADELPHIA, PA 19134-2328
Phone number: 215-291-9500