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NPI Code Detail

MEDICARE: MS. AMINATA KONNEH LPC, NCC

MEDICARE: MS. AMINATA KONNEH LPC, NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YP2500XProfessional CounselorPC017077PA

General Provider Information

NPI Number : 1558009688
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMINATA KONNEH LPC, NCC
Provider Business Mailing Address
First Line : PO BOX 1464
Second Line :
City : ALIQUIPPA
State : PA
Zip : 15001-6464
Country : US
Telephone Number : 484-441-3194
Fax Number :
Provider Business Practice Location Address
First Line : 1800 JOHN F KENNEDY BLVD STE 1404
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-7417
Country : US
Telephone Number : 484-441-3194
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2022
Last Update Date : 08/06/2024

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