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Individual

ALTHEA VANESSA SESSION LOVETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHC, CASAC

Contact information

Practice address
764 E 176TH ST, BRONX, NY 10460-4606
(718) 542-8770
Mailing address
764 E 176TH ST, BRONX, NY 10460-4606
(718) 542-8770

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
26263
NY
101YM0800X
Mental Health Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
478004736
LICENSE
NY
Enumeration date
03/13/2020
Last updated
03/13/2020
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