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Organization
VILLAGE COUNSELING PSYCHOTHERAPY LCSW PLLC
Active
Organization
VILLAGE COUNSELING PSYCHOTHERAPY LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BAHAN (MEMBER)
(718) 673-2258
Entity
Organization
Contact information
Practice address
205 E 69TH ST, NEW YORK, NY 10021-5431
(718) 673-2258
Mailing address
205 E 69TH ST APT 9F, NEW YORK, NY 10021-5437
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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