SHAKINA SMALL

PHILADELPHIA, PA
NPI1174260806
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: PA  PC016304)
Enumeration Date2022-05-15
Last Update Date2023-10-31
Business Address
SHAKINA SMALL MS, NCC, LPC, LBC
12 N PRESTON ST
PHILADELPHIA, PA 19104-2211
Phone number: 267-225-7638
Mailing Address
SHAKINA SMALL MS, NCC, LPC, LBC
4040 MARKET ST
PHILADELPHIA, PA 19104-3003
Phone number: 215-895-5697