Individual
MR. ANDERSON PEGUERO II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2171 MADISON AVE APT 7H, NEW YORK, NY 10037-2325
(706) 575-3641
Mailing address
2171 MADISON AVE APT 7H, NEW YORK, NY 10037-2325
(706) 575-3641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
117498
NY
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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