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Individual

CHANEL WEATHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHC-LP

Contact information

Practice address
70 E SUNRISE HWY STE 500, VALLEY STREAM, NY 11581-1233
(516) 263-2375
Mailing address
110 JERICHO TPKE STE 212, FLORAL PARK, NY 11001-2019
(718) 404-2396

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NY

Other

Enumeration date
09/07/2023
Last updated
09/07/2023
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