Individual
DR. ANGELINA AKHVLEDIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
66 BOERUM PL, BROOKLYN, NY 11201-5705
(712) 522-6011
Mailing address
66 BOERUM PL, BROOKLYN, NY 11201-5705
(718) 522-6011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
007023
NY
Other
Enumeration date
07/09/2013
Last updated
08/02/2016
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