Individual provider · Type 1 NPI

Mira Vasjari

Mental Health Counselor · Ridgewood, NY

NPI number 1376140467 Active

Practice location

5913 Grove St
Ridgewood, NY 11385-2647

Mailing address

6824 64th Pl
Ridgewood, NY 11385-5250

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376140467

Mira Vasjari's National Provider Identifier is 1376140467, issued on Oct 2, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ridgewood, NY. The record was last updated on Oct 2, 2020.