Individual provider · Type 1 NPI

Liberty Osa Izevbuwa, MSW

Counselor · Staten Island, NY

NPI number 1205250545 Active

Practice location

119 Tompkins Ave, B-Level
Staten Island, NY 10304-2601

Call (646) 385-2762 Map

Fax (718) 303-8989

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1205250545

Liberty Osa Izevbuwa, MSW's National Provider Identifier is 1205250545, issued on Feb 6, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Staten Island, NY. The record was last updated on Mar 10, 2014.