Individual
DANIELLE DIEGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
68 JAY ST, BROOKLYN, NY 11201-1189
(917) 543-1011
Mailing address
5925 69TH AVE, RIDGEWOOD, NY 11385-4453
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
009632
NY
Other
Enumeration date
12/22/2019
Last updated
12/22/2019
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