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Organization
MADISON AVENUE PSYCHOTHERAPY, MENTAL HEALTH COUNSELING PC
Active
Organization
MADISON AVENUE PSYCHOTHERAPY, MENTAL HEALTH COUNSELING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA JEAN ROCCHIO LMHC (CEO)
(631) 517-0358
Entity
Organization
Contact information
Practice address
315 MADISON AVE STE 3083, NEW YORK, NY 10017-5457
(631) 517-0358
Mailing address
315 MADISON AVE STE 3083, NEW YORK, NY 10017-5457
(631) 517-0358
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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