Individual
AYAKA OMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
136 MADISON AVE, NEW YORK, NY 10016-6711
(646) 535-6304
Mailing address
136 MADISON AVE, NEW YORK, NY 10016-6711
(646) 535-6304
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/10/2023
Last updated
03/12/2026
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