| Flushing Chinese Counseling Licensed Clinical Social Work, P.c. | |
|
6130 157th St Flushing NY 11367-1241 | |
| (646) 267-6885 | |
| (718) 888-0225 |
| Full Name | Flushing Chinese Counseling Licensed Clinical Social Work, P.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6130 157th St, Flushing, New York |
| Authorized Official Name and Position | Xuejun Chi (MANAGER) |
| Authorized Official Contact | 6462676885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flushing Chinese Counseling Licensed Clinical Social Work, P.c. 6130 157th St Flushing NY 11367-1241 Ph: (646) 267-6885 | Flushing Chinese Counseling Licensed Clinical Social Work, P.c. 6130 157th St Flushing NY 11367-1241 Ph: (646) 267-6885 |
| NPI Number | 1760882559 |
|---|---|
| Provider Enumeration Date | 08/28/2014 |
| Last Update Date | 08/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760882559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11714 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 079755 (New York) | Primary |
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