Individual
DESIREE SHAPOURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
243 NASSAU BLVD SOUTH, GARDEN CITY, NY 11530-5532
(516) 350-0975
Mailing address
15 MORLEY CT, ALBERTSON, NY 11507-1154
(516) 484-1165
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
002343
NY
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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