Individual
MRS. REBECCA MAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA MFT
Contact information
Practice address
243 NASSAU BLVD, GARDEN CITY S, NY 11530-5532
(516) 387-5143
Mailing address
4819 207TH ST FL 1, OAKLAND GARDENS, NY 11364-1112
(718) 640-7029
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P103766
NY
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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