Individual
MRS. LISA TRACHTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1419 E 26TH ST, BROOKLYN, NY 11210-5232
(718) 887-5203
Mailing address
1419 E 26TH ST, BROOKLYN, NY 11210-5232
(718) 677-8499
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
003748-1
NY
Other
Enumeration date
07/25/2010
Last updated
07/25/2010
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