Individual
AYANNA AHSHA OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
978 NEW YORK 45, SUITE 100, POMONA, NY 10970
(845) 535-4142
Mailing address
1741 LEXINGTON AVE APT 5, NEW YORK, NY 10029-3511
(929) 422-9333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
05/10/2024
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