Organization
BLANTON PEALE COMMUNITY COUNSELING CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA PATER ENNIS M.DIV., LCSW (DIRECTOR)
(718) 253-9001
Entity
Organization
Contact information
Practice address
FIRST UNITARIAN CHURCH, 50 MONROE PLACE, BROOKLYN, NY 11201
(718) 253-9001
Mailing address
949 W END AVE APT 10F, NEW YORK, NY 10025-3586
(212) 662-8986
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000677
NY
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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