NPI 1013240977

Ibrahim Adam Mohamed, MFT

Practitioner Contractor Philadelphia, PA

Practice location

Address: 159 Widener St, Philadelphia, PA 19120-1950
Phone: (215) 305-2705

Registered specialties (2)

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

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Registry record

NPI: 1013240977
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Sep 2009
Record last updated: 10 Sep 2009

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.