Most Relevant Information
Provider Data
| NPI Number: | 1003380312 |
| Provider Name: | TENERA STYLES NCC, LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | PC009408 |
Most Important Dates
| Enumeration Date: | 01/20/2019 |
| Last Updated: | 01/20/2019 |
Provider Practice Location
5000 WOODLAND AVE
PHILADELPHIA
PA
191435137
Practice Location Phone/Fax
| Phone: | 2157269807 |
| Fax: | 2157260424 |
Provider Mailing Location
1401 S 31ST ST FL 2
PHILADELPHIA
PA
191463506
Provider Mailing Phone/Fax
| Phone: | 2159252400 |
| Fax: | 2159259162 |