Individual
EDLAN PIZARRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC-T/CRPA-P
Contact information
Practice address
16318 JAMAICA AVE, JAMAICA, NY 11432-4919
(347) 424-6549
Mailing address
16318 JAMAICA AVE, JAMAICA, NY 11432-4919
(347) 424-6549
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
38781
NY
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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