Healthcare Provider Details

I. General information

NPI: 1861753527
Provider Name (Legal Business Name): ALLISON JANE KENT MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALLISON JANE BAKER

II. Dates (important events)

Enumeration Date: 05/30/2012
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1822 SPRING GARDEN ST 2ND FLOOR
PHILADELPHIA PA
19130-4122
US

IV. Provider business mailing address

1912 GREEN ST
PHILADELPHIA PA
19130-3207
US

V. Phone/Fax

Practice location:
  • Phone: 215-564-0680
  • Fax: 215-564-0732
Mailing address:
  • Phone: 908-391-0729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC006257
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: