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Organization
GRACE SUH MENTAL HEALTH COUNSELING, P.C
Active
Organization
GRACE SUH MENTAL HEALTH COUNSELING, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE SUH LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(917) 280-1043
Entity
Organization
Contact information
Practice address
3261 JOHNSON AVE, BRONX, NY 10463-3504
(917) 280-1043
Mailing address
206 E 95TH ST APT 4A, NEW YORK, NY 10128-3816
(917) 280-1043
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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