Individual
ALLYANA RACHEL WIVIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC-LP
Contact information
Practice address
493 NOSTRAND AVE, BROOKLYN, NY 11216-5117
(929) 399-5736
Mailing address
291 5TH AVE APT 4L, BROOKLYN, NY 11215-2576
(415) 378-5334
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
106815-01
NY
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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