Individual
MR. BLAINE FIEDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
216 E 118TH ST, APT. 2B, NEW YORK, NY 10035-4184
(917) 526-3150
Mailing address
216 E 118TH ST, APT. 2B, NEW YORK, NY 10035-4184
(917) 526-3150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002199
NY
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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