Individual
SAIRALYN REYES ANSANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
225 W 35TH ST, 7TH FLOOR, NEW YORK, NY 10018
(646) 801-4724
Mailing address
204 PRINCETON AVE, JERSEY CITY, NJ 07305-4711
(201) 450-6292
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
221700000X
Art Therapist
Primary
001658
NY
Other
Enumeration date
06/29/2013
Last updated
12/10/2013
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