Most Relevant Information
Provider Data
| NPI Number: | 1003335340 |
| Provider Name: | ANDRIA LAURINE CONNELL CMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 009715 |
Most Important Dates
| Enumeration Date: | 09/19/2017 |
| Last Updated: | 02/21/2024 |
Provider Practice Location
477 MADISON AVE FL 6
NEW YORK
NY
100225827
Practice Location Phone/Fax
| Phone: | 3478446900 |
| Fax: |
Provider Mailing Location
477 MADISON AVE FL 6
NEW YORK
NY
100225827
Provider Mailing Phone/Fax
| Phone: | 3478446900 |
| Fax: |