Individual
JOHN SOBRASKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
003423-1
NY
101YP2500X
Professional Counselor
Primary
003423-1
NY
106H00000X
Marriage & Family Therapist
000639-1
NY
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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