Individual
VANESSA PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
1149-55 MYRTLE AVE, BROOKLYN, NY 11206
(718) 574-1801
(718) 919-1535
Mailing address
1149-55 MYRTLE AVE, BROOKLYN, NY 11206
(718) 574-1801
(718) 919-1535
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
300999
NY
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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