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Organization
MENTAL HEALTH COUNSELING WELLNESS PRACTICE OF NEW YORK PC
Active
Organization
MENTAL HEALTH COUNSELING WELLNESS PRACTICE OF NEW YORK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISABELLA DAVYDOVA (PRESIDENT)
(212) 464-8976
Entity
Organization
Contact information
Practice address
267 5TH AVE, SUITE 1000, NEW YORK, NY 10016-7503
(212) 464-8976
Mailing address
267 5TH AVE, SUITE 1000, NEW YORK, NY 10016-7503
(212) 464-8976
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0043091
—
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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