Individual
ASHLEY ELEANA CORAZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
579 COURTLANDT AVE, BRONX, NY 10451-5013
(718) 485-2100
(718) 553-1111
Mailing address
165 E 19TH ST, PATERSON, NJ 07524-1536
(201) 539-5904
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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