Individual
ANITA M DEPASQUALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
6431 WALMORE RD, NIAGARA FALLS, NY 14304-1641
(716) 930-4767
Mailing address
6431 WALMORE RD, NIAGARA FALLS, NY 14304-1641
(716) 930-4767
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030241501
UNIVERA
NY
01
—
000506354002
COMMUNITY BLUE
NY
Enumeration date
09/29/2006
Last updated
01/25/2012
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