Kathleen Flynn
Counselor in New York, NY. Individual provider (NPI-1).
NPI number1063804375
StatusActive
Last updated in NPPESSep 25, 2017
Details
- NPI
- 1063804375
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Flynn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 24, 2015
- Last updated
- Sep 25, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
414 E 84th StNew York, NY 10028-6211
Phone 111-111-1111
Mailing address
414 E 84th StNew York, NY 10028-6211
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