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Organization

REENVISION MARRIAGE AND FAMILY THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELLE SENA PARK M.A., LMFT (OWNER/FOUNDER/THERAPIST)
(718) 354-6738
Entity
Organization

Contact information

Practice address
3328 164TH ST FL 1, FLUSHING, NY 11358-1442
(718) 354-6738
Mailing address
4003 164TH ST UNIT 580161, FLUSHING, NY 11358-2686

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
01/18/2022
Last updated
01/18/2022
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