Most Relevant Information
Provider Data
| NPI Number: | 1003230244 |
| Provider Name: | TINA PRESBERY LPC, RN, CAADC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | PC010357 |
Most Important Dates
| Enumeration Date: | 02/07/2014 |
| Last Updated: | 12/11/2018 |
Provider Practice Location
2805 UNRUH AVE
PHILADELPHIA
PA
191492525
Practice Location Phone/Fax
| Phone: | 2675939780 |
| Fax: |
Provider Mailing Location
2805 UNRUH AVE
PHILADELPHIA
PA
191492525
Provider Mailing Phone/Fax
| Phone: | 2675939780 |
| Fax: |