Individual
ANNE THERESE NOWLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
35 DOCK ST, ANDRUS CHILDREN'S CENTER MENTAL HEALTH DIVISION, YONKERS, NY 10701-2733
(914) 966-1109
(914) 965-9705
Mailing address
1156 N BROADWAY, ANDRUS CHILDREN'S CENTER, YONKERS, NY 10701-1108
(914) 965-3700
(914) 965-3883
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001827
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001827
NYS LICENSE #
NY
01
—
00355940
AGENCY MEDICAID #
NY
01
—
1285628552
JDAM NPI #
NY
Enumeration date
05/13/2006
Last updated
11/30/2007
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