Khadija A Abdullahi, LPC

Individual provider Active NPI Professional Counselor · Philadelphia, PA

NPI 1013798537 · NPPES record last updated Oct 10, 2023

Key facts

NPI
1013798537
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
PC016129 (PA)
Practice address
1080 N Delaware Ave Ste 600
Philadelphia, PA 19125-4339
Phone
(215) 496-0707
NPI assigned
Oct 10, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PC016129PAMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC016129 PA Yes

Addresses

Primary practice location

1080 N Delaware Ave Ste 600
Philadelphia, PA 19125-4339

Mailing address

1080 N Delaware Ave Ste 600
Philadelphia, PA 19125-4339

Other providers in Philadelphia, PA

All providers in Philadelphia, PA · Professional Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.