Individual
MS. LIZA ELLEN BAGDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER COUNSELOR
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-P-4584
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
907214704
LICENSE
NY
Enumeration date
11/05/2024
Last updated
11/05/2024
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