Individual
CHANTAL AMOUSSOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1908 BRYANT PLACE, NORTH-BALDWIN, NY 11510
(646) 203-5932
Mailing address
1908 BRYANT PL, NORTH BALDWIN, NY 11510-2229
(646) 203-5932
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
012542-01
NY
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/25/2022
Last updated
08/13/2024
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