Individual
MISS CHANDA LEA COVINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC T
Contact information
Practice address
41 PAGE PARK DR STE 200, POUGHKEEPSIE, NY 12603-7500
(845) 486-2850
(845) 486-2771
Mailing address
41 PAGE PARK DR STE 200, POUGHKEEPSIE, NY 12603-7500
(845) 486-2850
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
33772
NY
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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