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Organization
INDEPENDENCE COUNSELING CENTER
Active
Organization
INDEPENDENCE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN GREEN POLLARD MSW (DIRECTOR)
(914) 664-0400
Entity
Organization
Contact information
Practice address
10 FISKE PL, 205, MOUNT VERNON, NY 10550-3205
(914) 664-0400
(914) 664-0404
Mailing address
10 FISKE PL, 205, MOUNT VERNON, NY 10550-3205
(914) 664-0400
(914) 664-0404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6383705
NY
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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