Individual provider · Type 1 NPI

Ana Maria Leon Gomez Matute, MSC

Mental Health Counselor · Astoria, NY

NPI number 1407290778 Active

Practice location

3636 33rd St, Suite 500
Astoria, NY 11106-2329

Mailing address

5 Great Jones St Apt 9
New York, NY 10012-1157

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP85280 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1407290778

Ana Maria Leon Gomez Matute, MSC's National Provider Identifier is 1407290778, issued on Apr 17, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Astoria, NY. The record was last updated on Apr 17, 2013.