Individual
AILENE ANDREA TEVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
159 BLEECKER ST APT 2A, NEW YORK, NY 10012-1490
(917) 382-8075
Mailing address
531 W 151ST ST, NEW YORK, NY 10031-2236
(323) 813-6847
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P140911
NY
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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