Individual
MR. GERALDO JERRY ROBLES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRC,LMHC
Contact information
Practice address
2900 BEDFORD AVE, PSYCHOLOGY DEPARTMENT, BROOKLYN, NY 11210-2850
(718) 219-8014
Mailing address
2301 KINGS HWY APT 6H, BROOKLYN, NY 11229-1620
(718) 219-8014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
004380
NY
225C00000X
Rehabilitation Counselor
Primary
CRC # 00088304
NY
Other
Enumeration date
05/19/2008
Last updated
06/17/2011
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