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Individual

MR. JEAN VERNET SOUFFRANT SR.

Active
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Individual

MR. JEAN VERNET SOUFFRANT SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA NCPSYA

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
003761
NY
102L00000X
Psychoanalyst
Primary
0001361
NY

Other

Enumeration date
08/07/2007
Last updated
08/07/2007
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