Individual
CYNTHIA E GORDON-WELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC-LP
Contact information
Practice address
148 MADISON AVE, NEW YORK, NY 10016-6700
(917) 216-7787
Mailing address
407 FERNSIDE PL, FAR ROCKAWAY, NY 11691-2700
(646) 785-5231
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P111137
NY
Other
Enumeration date
08/02/2021
Last updated
08/11/2021
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