Individual provider · Type 1 NPI
Lydia Alex Gornak
Mental Health Counselor · New York, NY
NPI number
1619524014
Active
Practice location
205 W 37th St
New York, NY 10018-5701
Mailing address
2533 Batchelder St
Brooklyn, NY 11235-1414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor Primary | 101YM0800X | 014846 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1619524014
Lydia Alex Gornak's National Provider Identifier is 1619524014, issued on Aug 20, 2019. 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 Sep 13, 2024.