Individual
CORALLY VALEMBRUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 E 115TH ST, NEW YORK, NY 10029-1186
(212) 633-9300
Mailing address
590 6TH AVE, NEW YORK, NY 10011-2022
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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