Individual
CRISTALY VASCONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
6120 WOODSIDE AVE, WOODSIDE, NY 11377-3577
(718) 672-1705
Mailing address
2210 127TH ST, COLLEGE POINT, NY 11356-2718
(817) 559-5917
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011603
NY
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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