Individual
ANNA GURGENIDZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ED.M
Contact information
Practice address
250 W 57TH ST STE 501, NEW YORK, NY 10107-0500
(212) 582-1566
(212) 586-1272
Mailing address
250 W 57TH ST STE 501, NEW YORK, NY 10107-0500
(212) 582-1566
(212) 586-1272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/17/2016
Last updated
04/01/2021
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