Individual
YALITZA MARRERO DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
905 HANSHAW RD STE C, ITHACA, NY 14850-1549
(607) 844-7271
(607) 319-0492
Mailing address
905 HANSHAW RD STE C, ITHACA, NY 14850-1549
(607) 844-7271
(607) 319-0492
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC004376
PA
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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