Pd Mental Health Counseling Of Western Queens PLLC
Counselor, Mental Health in Jackson Heights, NY. Organization (NPI-2).
NPI number1386957801
StatusActive
Last updated in NPPESJul 26, 2010
Details
- NPI
- 1386957801
- Entity type
- Organization (NPI-2)
- Legal business name
- Pd Mental Health Counseling Of Western Queens PLLC
- Organization subpart
- No
- Enumeration date
- Jul 26, 2010
- Last updated
- Jul 26, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 001402 | NY | Yes |
Other names
- The Center At Western Queens (Doing Business As)
Practice location
7410 35th AveSuite 107 W
Jackson Heights, NY 11372-8197
Phone 718-672-1538 · Fax 718-429-0713
Mailing address
7410 35th AveSuite 107 W
Jackson Heights, NY 11372-8197
Phone 718-672-1538 · Fax 718-429-0713
Authorized official
Patricio Destvet
Director
7186721538
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