NPI 1003096561

Nicole Ivory Goicuria, MA

Practitioner Mental Health Counselor Philadelphia, PA

Practice location

Address: 2514 N Broad St, Philadelphia, PA 19132-4013
Phone: (215) 599-2808
Fax: (215) 599-1041

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Pennsylvania →

Registry record

NPI: 1003096561
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Nov 2007
Record last updated: 13 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.