Provider Demographics
NPI:1487825097
Name:RIJO, ANA A (LPC)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:A
Last Name:RIJO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3058 MAGEE AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-2532
Mailing Address - Country:US
Mailing Address - Phone:267-701-4845
Mailing Address - Fax:
Practice Address - Street 1:207 E MAIN ST
Practice Address - Street 2:OFC 5
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-5068
Practice Address - Country:US
Practice Address - Phone:267-701-4845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-23
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004755101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102231396Medicaid