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Individual

ANNIE JAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
211 BROADWAY STE 207, LYNBROOK, NY 11563-3290
(516) 825-6567
Mailing address
7552 183RD ST, FRESH MEADOWS, NY 11366-1618
(917) 929-7806

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010658
NY

Other

Enumeration date
10/12/2020
Last updated
10/12/2020
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