Individual
ADAM MICHAEL LAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, CGCS
Contact information
Practice address
1080 MADISON AVE, NEW YORK, NY 10028-0237
(973) 255-6576
Mailing address
41 BENNETT AVE APT 5, NEW YORK, NY 10033-3614
(303) 669-6517
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
113739-01
NY
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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