person
Shannon Eastham De Ycaza, LMHC
Mental Health Counselor in New York, New York
NPI 1841819844

Shannon Eastham De Ycaza is a Mental Health Counselor based in Darien, NY and is specialized in Mental Health. Shannon Eastham De Ycaza practices in New York, NY and has the professional credentials of LMHC. The NPI Number for Shannon Eastham De Ycaza is 1841819844 and holds a License No. 010379 (New York).

The current practice location address for Shannon Eastham De Ycaza is 353 Lexington Ave Suite 302, New York, NY and can be reached out via phone at 646-397-0486.

Location: 353 Lexington Ave Suite 302, New York, NY, 06820-4608
person
Provider Profile Details
NPI Number
1841819844
Provider Name
Shannon Eastham De Ycaza
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
353 Lexington Ave Suite 302, New York, NY, 06820-4608
Phone Number
646-397-0486
Fax Number
Provider Enumeration Date
04/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
353 Lexington Ave Suite 302
City
State
Zip
10016
Phone Number
646-397-0486
Fax Number
person
Provider Business Mailing Address Details
Address
353 Lexington Ave Suite 302
City
State
Zip
10016
Phone Number
646-397-0486
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
010379 (New York)
Definition
Definition to come...
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