Individual provider · Type 1 NPI
Marie Grace Iadavaia
Mental Health Counselor · Bronxville, NY
NPI number
1861602989
Active
Practice location
17 Archer Dr
Bronxville, NY 10708-4601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 001322-1 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1861602989
Marie Grace Iadavaia's National Provider Identifier is 1861602989, issued on May 24, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bronxville, NY. The record was last updated on Jul 8, 2007.