Individual
JOHANNA GROEPL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.F.T.
Contact information
Practice address
963 ROUTE 22, BREWSTER, NY 10509-1526
(845) 306-1843
Mailing address
58 CONCORD RD, CARMEL, NY 10512-6826
(845) 306-1843
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000288
NY
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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