Individual provider · Type 1 NPI
Dimitra Kostouros-Gaitaneris, PMHC
Mental Health Counselor · Long Island City, NY
NPI number
1700410339
Active
Practice location
The Fortune Society Inc., 29-76 Northern Blvd 2nd Fl
Long Island City, NY 11101-2822
Mailing address
2291 Victory Blvd
Staten Island, NY 10314-6625
Other practice locations
- 2291 Victory Blvd, Staten Island, NY 10314-6625 · (646) 600-9036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | P104909 (NY) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1700410339
Dimitra Kostouros-Gaitaneris, PMHC's National Provider Identifier is 1700410339, issued on Feb 22, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Long Island City, NY. The record was last updated on May 4, 2020.