Individual
GWENNE JODI LANDAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
2020 CONEY ISLAND AVE, BROOKLYN, NY 11223-2329
(347) 563-9914
Mailing address
2020 CONEY ISLAND AVE, BROOKLYN, NY 11223-2329
(347) 563-9914
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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