Individual
COURTNEY KROK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44 E 12TH ST, NEW YORK, NY 10003-4632
(917) 633-3368
Mailing address
44 E 12TH ST, NEW YORK, NY 10003-4632
(646) 450-7953
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P122032
NY
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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