MEDICARE: INTUITIVE COUNSELING

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1346601713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTUITIVE COUNSELING

Provider Business Mailing Address
First Line	:	1429 WALNUT ST
Second Line	:	SUITE 701
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-3218
Country	:	US
Telephone Number	:	610-504-5234
Fax Number	:

Provider Business Practice Location Address
First Line	:	1429 WALNUT ST
Second Line	:	SUITE 701
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-3218
Country	:	US
Telephone Number	:	610-504-5234
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR
Name	:	KIMBERLEY DOBBS
Credential	:
Telephone Number	:	610-504-5234

Provider Enumeration Date	:	03/14/2016
Last Update Date	:	03/14/2016

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