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Mimose Valbrun
Mental Health Counselor in Valley Stream, New York
NPI 1871044321

Mimose Valbrun is a Mental Health Counselor based in Valley Stream, NY and is specialized in Mental Health. Mimose Valbrun practices in Valley Stream, NY. The NPI Number for Mimose Valbrun is 1871044321 and holds a License No. 084013-1 (New York).

The current practice location address for Mimose Valbrun is 50 W Hawthorne Ave, Valley Stream, NY and can be reached out via phone at 516-569-6600 and via fax at 516-821-3470.

Location: 50 W Hawthorne Ave, Valley Stream, NY, 11580-6220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871044321
Provider Name
Mimose Valbrun
Credential
Provider Entity Type
Individual
Gender
Female
Address
50 W Hawthorne Ave, Valley Stream, NY, 11580-6220
Phone Number
516-569-6600
Fax Number
516-821-3470
Provider Enumeration Date
10/19/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
81-4155872 05 NY
institution
Provider Business Practice Location Address Details
Address
50 W Hawthorne Ave
City
Valley Stream
State
New York
Zip
11580-6220
Phone Number
516-569-6600
Fax Number
516-821-3470
person
Provider Business Mailing Address Details
Address
50 W Hawthorne Ave
City
Valley Stream
State
New York
Zip
11580-6220
Phone Number
516-569-6600
Fax Number
516-821-3470
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
084013-1 (New York)
Definition
Definition to come...
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