Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
Y | 101YM0800X | Mental Health Counselor | 0074431 | NY |
N | 225C00000X | Rehabilitation Counselor | 00115880 | IL |
NPI | 1215446224 |
---|---|
Provider Name | Ms. Valisa Singh |
First Address | Huntington Station, NY 11746-7325 |
Second Address | Huntington Station, NY 11746-7325 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2017 |
Last Update Date | 02/04/2019 |