Individual provider · Type 1 NPI

Shanta Kerina Pamphile, MA

Mental Health Counselor · Bronx, NY

NPI number 1295270791 Active

Practice location

5676 Riverdale Ave, Suite 202
Bronx, NY 10471-2138

Mailing address

1438 Taylor Ave, Apt 1
Bronx, NY 10460-3774

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X18P01042 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1295270791

Shanta Kerina Pamphile, MA's National Provider Identifier is 1295270791, issued on Dec 20, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bronx, NY. The record was last updated on Dec 20, 2016.