Individual
MRS. JULIE VAN NOSTRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
21 KETTLE HOLE RD, MANORVILLE, NY 11949-2857
(631) 926-0803
Mailing address
21 KETTLE HOLE RD, MANORVILLE, NY 11949-2857
(631) 926-0803
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
00787-1
NY
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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