Individual provider · Type 1 NPI

Charles Cordova, MHC-LP

Mental Health Counselor · New York, NY

NPI number 1578095329 Active

Practice location

248 W 108th St, The Bridge 5th Fl Clinic
New York, NY 10025-2956

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP03157 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1578095329

Charles Cordova, MHC-LP's National Provider Identifier is 1578095329, issued on Mar 31, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Mar 31, 2017.