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Individual

ANA VIRGINIA MERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MENTAL HEALTH COUNSE

Contact information

Practice address
445 OAK ST, COPIAGUE, NY 11726-3111
(631) 257-5173
Mailing address
13 JEWEL ST, BRENTWOOD, NY 11717-6505
(917) 495-4524

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P001353
NY

Other

Enumeration date
04/25/2023
Last updated
04/25/2023
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