Individual
MR. GUILLERMO CALLEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.H.C.
Contact information
Practice address
11 GRACE AVE STE 204, GREAT NECK, NY 11021-2417
(917) 680-3882
Mailing address
11 GRACE AVENUE, SUITE 204, GREAT NECK, NY 11021
(917) 680-3882
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
003916
NY
101YM0800X
Mental Health Counselor
003916
NY
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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