Individual provider · Type 1 NPI
Diana Ilyasova
Counselor · Flushing, NY
NPI number
1700297736
Active
Practice location
79-25 150th St, Apt. B11
Flushing, NY 11367
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 3572784 (NY) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1700297736
Diana Ilyasova's National Provider Identifier is 1700297736, issued on May 13, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Flushing, NY. The record was last updated on May 13, 2014.