Individual
CATIA I DORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
585 STEWART AVE STE 408, GARDEN CITY, NY 11530-4701
(516) 280-7285
Mailing address
240 HARRISON AVE, MINEOLA, NY 11501-3906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004270
NY
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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