Individual
AUDRA CALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 S 4TH ST APT 7H, BROOKLYN, NY 11249-8640
(508) 737-8246
Mailing address
5 UNION SQ W, NEW YORK, NY 10003-3306
(508) 737-8246
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P125210
NY
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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