Aleema S. Haynesworth
Counselor, Professional in Philadelphia, PA. Individual provider (NPI-1).
NPI number1710598677
StatusActive
Last updated in NPPESJan 24, 2023
Details
- NPI
- 1710598677
- Entity type
- Individual (NPI-1)
- Name
- Aleema S. Haynesworth
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2020
- Certification date
- Jan 24, 2023
- Last updated
- Jan 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | PC010341 | PA | Yes |
Practice location
5500 Kingsessing AvePhiladelphia, PA 19143-5329
Phone 484-841-9224
Mailing address
5500 Kingsessing AvePhiladelphia, PA 19143-5329
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