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Individual

MR. ARIEL M AVISSAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, MT-BC, LCAT

Contact information

Practice address
281 EDGECOMBE AVE APT 7F, NEW YORK, NY 10031-3004
(301) 928-9494
Mailing address
341 5TH AVE APT 3L, BROOKLYN, NY 11215-2824
(301) 928-9494

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
001513
NY
101YM0800X
Mental Health Counselor
001513
NY
101YP2500X
Professional Counselor
Primary
001513
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08744
MT-BC (CERTIFICATION BOARD FOR MUSIC THERAPISTS)
Enumeration date
01/07/2013
Last updated
08/11/2016
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