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Organization
NEO MENTAL HEALTH COUNSELING, PC
Active
Organization
NEO MENTAL HEALTH COUNSELING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS ERNESTO OUTEDA LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(347) 423-4548
Entity
Organization
Contact information
Practice address
4130 75TH ST FL 1, ELMHURST, NY 11373-1852
(347) 423-4548
Mailing address
2046 SEAGIRT BLVD, APT 5-F, FAR ROCKAWAY, NY 11691-5950
(718) 868-0515
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000758-1
NY
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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