Individual
MS. COLLEEN MOOLCHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC, LMHC
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4832
Mailing address
462 1ST AVE, NEW YORK, NY 10016-9196
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001300-1
NY
Other
Enumeration date
01/11/2012
Last updated
03/04/2013
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