Organization
COGNITIVE BEHAVORIAL THERAPY MENTAL HEALTH COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY BADE (HEAD OF CREDENTIALING)
(617) 326-3751
Entity
Organization
Contact information
Practice address
83 HARTFORD AVE, STATEN ISLAND, NY 10310-3111
(718) 981-2310
(917) 567-7034
Mailing address
83 HARTFORD AVE, STATEN ISLAND, NY 10310-3111
(718) 981-2310
(917) 567-7034
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004239
NY
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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