Individual
IDA ANN MARX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT, ATR-BC
Contact information
Practice address
66 BOERUM PL, BROOKLYN, NY 11201-5705
(646) 315-1551
Mailing address
23 INDIA ST APT 3B, BROOKLYN, NY 11222-6697
(646) 315-5151
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001926
NY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/24/2014
Last updated
09/07/2023
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