Individual
AYANNA OBANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
109 N 12TH ST FL 7, BROOKLYN, NY 11249-1008
(555) 555-5555
Mailing address
109 N 12TH ST FL 7, BROOKLYN, NY 11249-1008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011973
NY
Other
Enumeration date
06/12/2018
Last updated
04/21/2023
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