Individual
TANISHA PROVERBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
566 7TH AVE, NEW YORK, NY 10018-1802
(212) 564-7631
Mailing address
716 N 5TH ST, HARRISON, NJ 07029-3302
(973) 953-8632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
010358-01
NY
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
37PC01024700
NJ
Other
Enumeration date
09/06/2012
Last updated
01/26/2025
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