Individual
CHANTAL SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 DOBBIN ST STE 204A, BROOKLYN, NY 11222-2803
(347) 255-7634
Mailing address
117 DOBBIN ST STE 204A, BROOKLYN, NY 11222-2803
(347) 255-7634
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386297224
CIGNA, ATENA
—
Enumeration date
01/17/2023
Last updated
02/17/2023
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