Individual
MISS CORAL VILLANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
249 BROWER AVE, ROCKVILLE CENTRE, NY 11570-2605
(516) 297-6551
Mailing address
249 BROWER AVE, ROCKVILLE CENTRE, NY 11570-2605
(516) 297-6551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0056991
NY
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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