Individual
ANASTACIA VASSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 MOUNT VERNON AVE, MOUNT VERNON, NY 10550-2434
(914) 817-4825
Mailing address
11 MOUNT VERNON AVE, MOUNT VERNON, NY 10550-2434
(914) 817-4825
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
012144
NY
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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