Individual
DANIELLA BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
75 GRAND AVE, MASSAPEQUA, NY 11758-4905
(516) 799-3203
Mailing address
75 GRAND AVE, MASSAPEQUA, NY 11758-4905
(516) 799-3203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
006515
NY
Other
Enumeration date
01/27/2014
Last updated
12/09/2015
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