Individual
CHEN PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
253 SOUTH ST FL 2, NEW YORK, NY 10002-7827
(212) 720-4526
Mailing address
20 RIVER CT APT 2605, JERSEY CITY, NJ 07310-2213
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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