Individual
DANIELLE LUZ MATIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MHC
Contact information
Practice address
579 COURTLANDT AVE, BRONX, NY 10451-5013
(718) 485-2100
Mailing address
139 PAYSON AVE, 5I, NEW YORK, NY 10034-2703
(646) 204-2295
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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