Antoinette Jackson (Aziz), LPC

NPI 1700439171 · on the registry since 2019 · sole proprietor

Practice

Address: 6122 Ridge Ave
Philadelphia, PA 19128
Phone: (215) 487-1330
Organisation at this address: Intercommunity Action, Inc.
Intercommunity Action, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 35

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-07-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania