Individual
TSHNINA ELENA STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCMH, NCC
Contact information
Practice address
413 HIGH ST, SEAFORD, DE 19973-3923
(302) 394-6051
Mailing address
413 HIGH ST, SEAFORD, DE 19973-3923
(302) 990-4198
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0011215
DE
Other
Enumeration date
09/28/2021
Last updated
10/07/2024
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