Individual
MS. ATLANTIS AXEL GOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
194 MALCOLM X BLVD, NEW YORK, NY 10026-1363
(917) 703-8629
Mailing address
194 MALCOLM X BLVD, NEW YORK, NY 10026-1363
(917) 703-8629
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/25/2017
Last updated
07/21/2022
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