Individual
TAHANIE FENELON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
7701 13TH AVE, BROOKLYN, NY 11228-2413
(718) 232-1351
Mailing address
7701 13TH AVE, BROOKLYN, NY 11228-2413
(516) 647-8804
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
P95419
NY
Other
Enumeration date
04/02/2015
Last updated
04/07/2015
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