Individual provider · Type 1 NPI

Yanira Coralyn Ildefonso-Patino, MHC-LP

Mental Health Counselor · Jericho, NY

NPI number 1629801535 Active

Practice location

350 Jericho Tpke Ste 103
Jericho, NY 11753-1317

Mailing address

746 Jerusalem Ave
Uniondale, NY 11553-2957

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP128403 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1629801535

Yanira Coralyn Ildefonso-Patino, MHC-LP's National Provider Identifier is 1629801535, issued on Aug 26, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jericho, NY. The record was last updated on Aug 26, 2024.