Individual
CHAVEL PAMELA GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W 143RD ST, 17D, NEW YORK, NY 10030
(347) 355-5657
Mailing address
200 W 143RD ST, 17D, NEW YORK, NY 10030-1522
(347) 355-5657
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SJ58401X
—
NY
Enumeration date
04/05/2016
Last updated
04/05/2016
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