Individual provider · NPI-1

Desiree Anthony

Counselor, Professional · Flushing, NY

NPI number1841675402
StatusActive
Last updated in NPPESJul 24, 2015

Details

NPI
1841675402
Entity type
Individual (NPI-1)
Name
Desiree Anthony
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 24, 2015
Last updated
Jul 24, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional––Yes

Practice location

15024 75th Ave
Flushing, NY 11367-2924

Phone 347-506-9494

Mailing address

15024 75th Ave
Flushing, NY 11367-2924

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