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Organization
PD MENTAL HEALTH COUNSELING OF QUEENS COUNTY PLLC
Active
Organization
PD MENTAL HEALTH COUNSELING OF QUEENS COUNTY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIO DESTVET LMHC (DIRECTOR)
(718) 898-5600
Entity
Organization
Contact information
Practice address
7410 35TH AVE APT 107W, JACKSON HEIGHTS, NY 11372-8105
(718) 672-1538
(718) 898-5700
Mailing address
7410 35TH AVE APT 107W, JACKSON HEIGHTS, NY 11372-8105
(718) 672-1538
(718) 898-5700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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