Individual
CHELSEA SURPRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 W PENNYWOOD AVE, ROOSEVELT, NY 11575-1011
(347) 334-3946
Mailing address
23 W PENNYWOOD AVE, ROOSEVELT, NY 11575-1011
(347) 334-3946
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
10/01/2021
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