Individual
MR. ALEX VASSILATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.,, C.R.C., LMHC
Contact information
Practice address
4343 BOWNE ST, QUEENS COUNSELING SERVICES, FLUSHING, NY 11355-3039
(718) 461-6393
Mailing address
4135 45TH ST APT 3C, SUNNYSIDE, NY 11104-1913
(917) 334-7714
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000140
NY
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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