Individual
CANDICE OVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. MHC
Contact information
Practice address
3636 33RD ST STE 502, ASTORIA, NY 11106-2329
(718) 426-8110
Mailing address
1594 METROPOLITAN AVE APT 5G, BRONX, NY 10462-6826
(646) 316-4446
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/20/2016
Last updated
02/06/2017
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