Individual
DIANA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
260 E 161ST ST FL THST9, BRONX, NY 10451-3512
(718) 292-6622
Mailing address
260 E 161ST ST FL THST9, BRONX, NY 10451-3512
(718) 292-6622
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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