Individual
COURTNEY FOLLWEILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
609 KAPPOCK ST APT 5C, BRONX, NY 10463-7777
(484) 336-4021
Mailing address
609 KAPPOCK ST APT 5C, BRONX, NY 10463-7777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
28071
NY
221700000X
Art Therapist
Primary
001219
NY
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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