Individual
ASHLEY MAGNUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRPA, CASAC T
Contact information
Practice address
190 MERCER ST, NEW YORK, NY 10012-1502
(212) 677-3400
(212) 995-5897
Mailing address
190 MERCER ST, NEW YORK, NY 10012-1502
(212) 677-3400
(212) 995-5895
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-6246
NY
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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