Individual
GUILLAUME MOURERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
(929) 273-7601
Mailing address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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