Individual
CHISLENE LORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3720 74TH ST FL 3, JACKSON HEIGHTS, NY 11372-6338
(212) 966-9537
Mailing address
3720 74TH ST FL 3, JACKSON HEIGHTS, NY 11372-6338
(212) 966-9537
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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