Individual
DASHIMA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
440 E 139TH ST APT 5B, BRONX, NY 10454-2748
(917) 605-3890
Mailing address
440 E 139TH ST APT 5B, BRONX, NY 10454-2748
(917) 605-3890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011461
NY
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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