Individual provider · Type 1 NPI

Mary Beth Mijares

Mental Health Counselor · New York, NY

NPI number 1174997720 Active

Practice location

2090 Adam Clayton Powell Jr Blvd
New York, NY 10027

Mailing address

590 Avenue Of The Americas
New York, NY 10011-2022

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800XP03642 (NY)

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About NPI 1174997720

Mary Beth Mijares's National Provider Identifier is 1174997720, issued on Nov 19, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Jun 6, 2018.