Individual
CARLA MALINDA SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
2205 LORETTA ROAD, APT F1, FAR ROCKAWAY, NY 11691
(516) 591-7907
Mailing address
2205 LORETTA ROAD, APT F1, FAR ROCKAWAY, NY 11691
(516) 591-7907
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NY
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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