Individual
CRISTINA DORVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1600 MACOMBS RD, BRONX, NY 10452
(718) 299-3300
Mailing address
1600 MACOMBS RD, BRONX, NY 10452
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003429
NY
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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