| Tabitha Gonzalez Licensed Mental Health Counseling Pllc | |
|
100 S Bedford Rd Ste 340321 Mount Kisco NY 10549-3425 | |
| (646) 359-2887 | |
| Not Available |
| Full Name | Tabitha Gonzalez Licensed Mental Health Counseling Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 100 S Bedford Rd Ste 340321, Mount Kisco, New York |
| Authorized Official Name and Position | Tabitha Gonzalez (OWNER) |
| Authorized Official Contact | 6463592887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tabitha Gonzalez Licensed Mental Health Counseling Pllc 100 S Bedford Rd Ste 340321 Mount Kisco NY 10549-3425 Ph: (646) 359-2887 | Tabitha Gonzalez Licensed Mental Health Counseling Pllc 100 S Bedford Rd Ste 340321 Mount Kisco NY 10549-3425 Ph: (646) 359-2887 |
| NPI Number | 1700499381 |
|---|---|
| Provider Enumeration Date | 08/25/2020 |
| Last Update Date | 08/25/2020 |
| Certification Date | 08/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700499381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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