institution
Chanel V. Tazza, Mental Health Counseling, P.c.
Mental Health Counselor in Glen Head, New York
NPI 1386114692

Chanel V. Tazza, Mental Health Counseling, P.c. is a Mental Health Counselor based in Glen Head, NY and is specialized in Mental Health. Chanel V. Tazza, Mental Health Counseling, P.c. practices in Glen Head, NY. The NPI Number for Chanel V. Tazza, Mental Health Counseling, P.c. is 1386114692 and holds a License No. (New York).

The current practice location address for Chanel V. Tazza, Mental Health Counseling, P.c. is 63 Scudders Ln, Glen Head, NY and can be reached out via phone at 646-456-0819.

Location: 63 Scudders Ln, Glen Head, NY, 11545-1535
institution
Provider Profile Details
NPI Number
1386114692
Provider Name
Chanel V. Tazza, Mental Health Counseling, P.c.
Credential
Provider Entity Type
Organization
Address
63 Scudders Ln, Glen Head, NY, 11545-1535
Phone Number
646-456-0819
Fax Number
Provider Enumeration Date
11/29/2018
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1053510354 01 NY NPI TYPE I
1386114692 01 NY GROUP PRACTICE NPI
07679601 05 NY
institution
Provider Business Practice Location Address Details
Address
63 Scudders Ln
City
State
Zip
11545-1535
Phone Number
646-456-0819
Fax Number
person
Provider Business Mailing Address Details
Address
63 Scudders Ln
City
State
Zip
11545-1535
Phone Number
646-456-0819
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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