Individual
LOURDES V TAYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6725 CLYDE ST APT 7J, FOREST HILLS, NY 11375-4014
(917) 600-8256
Mailing address
6725 CLYDE ST APT 7J, FOREST HILLS, NY 11375-4014
(917) 600-8256
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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