Individual provider · Type 1 NPI
Medorie Petersen-Woodburn, LMSW
Mental Health Counselor · Bronx, NY
NPI number
1255034427
Active
Practice location
4234 Gunther Ave
Bronx, NY 10466-2008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 117881-01 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1255034427
Medorie Petersen-Woodburn, LMSW's National Provider Identifier is 1255034427, issued on Mar 24, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bronx, NY. The record was last updated on Mar 24, 2023.