Individual
MR. AUGUSTIN JOHN LIANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
115 W 31ST ST FL 5, NEW YORK, NY 10001-3596
(212) 564-6006
(212) 564-3440
Mailing address
10118 67TH DR APT 1R, FOREST HILLS, NY 11375-2784
(347) 881-6255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010742
NY
101YM0800X
Mental Health Counselor
P13278
NY
Other
Enumeration date
09/24/2019
Last updated
10/01/2020
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