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Individual

DR. ZANIYAH KAILANII SOLIS-FEARON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYCHOTHERAPY

Contact information

Practice address
520 W 56TH ST APT 13K, NEW YORK CITY, NY 10019-3539
(201) 606-3005
Mailing address
520 W 56TH ST APT 13K, NEW YORK CITY, NY 10019-3539
(201) 606-3005

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
NY
103TB0200X
Cognitive & Behavioral Psychologist
103TP2701X
Group Psychotherapy Psychologist
Primary
NY
1041C0700X
Clinical Social Worker
171400000X
Health & Wellness Coach
221700000X
Art Therapist
374K00000X
Religious Nonmedical Practitioner
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
742335348-00
NY
Enumeration date
03/24/2022
Last updated
04/19/2022
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