Individual
CELINE D LODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 HARPER CT, BRONX, NY 10466-6058
(347) 847-7174
Mailing address
37 HARPER CT, BRONX, NY 10466-6058
(347) 847-7174
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
101YM0800X
Mental Health Counselor
—
NY
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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