Individual
MRS. CORINNE AGNES ALBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, CASAC
Contact information
Practice address
75 GRAND AVE, MASSAPEQUA, NY 11758-4905
(516) 885-1818
Mailing address
4041 BERNICE RD, SEAFORD, NY 11783-1716
(516) 885-1818
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/10/2008
Last updated
01/21/2015
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