Individual
ASSATA TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
25 CHAPEL ST STE 701, BROOKLYN, NY 11201-1917
(347) 450-4855
Mailing address
25 CHAPEL STREET, SUITE 701, BROOKLYN, NY 11201
(347) 450-4855
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P104784
NY
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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