Individual provider · Type 1 NPI

Svetlana Ibragimov

Mental Health Counselor · Springfield Gardens, NY

NPI number 1245494632 Active

Practice location

13325 220th St
Springfield Gardens, NY 11413-1636

Fax (718) 337-1535

Mailing address

2031 Seagirt Blvd, 1A
Far Rockaway, NY 11691-2930

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1245494632

Svetlana Ibragimov's National Provider Identifier is 1245494632, issued on Jul 15, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield Gardens, NY. The record was last updated on Jul 15, 2008.