Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Antonina Deverue

Individual provider Professional Counselor · NPI 1235990789

Antonina Deverue is a Professional Counselor in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2024.

Licensed in
PA
In the registry since
2024

Practice location Address checks out

4641 E Roosevelt Blvd
Philadelphia, PA 19124-2343
Phone: (215) 831-2962
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC008783 (PA)

Record details

NPI number1235990789
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 22, 2024

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