Individual
CHRISSIE SHEUNG-YAN CHUA- LY VAN MANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1430 BROADWAY, ASTORIA, NY 11106-4530
(718) 545-7683
Mailing address
1430 BROADWAY, ASTORIA, NY 11106-4530
(718) 545-7683
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
009151
NY
Other
Enumeration date
10/04/2016
Last updated
12/17/2018
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