Individual provider · Type 1 NPI

Tina Divita

Mental Health Counselor · Cheektowaga, NY

NPI number 1780056937 Active

Practice location

1526 Walden Avenue
Cheektowaga, NY 14225

Fax (716) 895-0436

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780056937

Tina Divita's National Provider Identifier is 1780056937, issued on Oct 28, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cheektowaga, NY. The record was last updated on Oct 28, 2015.