Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 1286723181 | NY |
NPI | 1114545191 |
---|---|
Provider Name | Nicole Byrne-Navarro |
First Address | Plattsburgh, NY 12901-5003 |
Second Address | Cadyville, NY 12918-2817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2020 |
Last Update Date | 07/07/2020 |