Individual provider · NPI-1
Karli Coverdale
Counselor, Mental Health · Islandia, NY
NPI number1124534177
StatusActive
Last updated in NPPESMay 4, 2023
Details
- NPI
- 1124534177
- Entity type
- Individual (NPI-1)
- Name
- Karli Coverdale
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 28, 2017
- Certification date
- May 4, 2023
- Last updated
- May 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 103K00000X | Behavior Analyst | 00202 | NY |
Practice location
1767 Veterans Hwy Ste 24Islandia, NY 11749-1536
Phone 631-263-8307
Mailing address
1767 Veterans Hwy Ste 24Islandia, NY 11749-1536
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