# MRS. DEBRA DONNENBERG MANDEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1083822746
- **Gender:** F
- **Credential:** MS,ATR,SAS,SDA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 004013-1 | NY | — |
| 252Y00000X | Early Intervention Provider Agency | 118814862 | NY | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 06/07/2012
