Mobile Counseling of New York Lcsw, Pllc
NPI #1700359700 in Grand Island, New York
Provider Information
- NPI Number
- 1700359700
- Entity Type
- Organization
- Organization Name
- Mobile Counseling of New York Lcsw, Pllc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 2, 2019
- Last Updated
- Mar 12, 2020
Practice Location
- Address
- 52 WOODSTREAM DR
- City
- Grand Island
- State
- New York
- ZIP Code
- 14072-1485
- Phone
- (716) 302-4545
Authorized Official
- Name
- NINO ELIZONDO, LCSW-R
- Title
- OWNER
- Phone
- (716) 302-4545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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