ELLYA INDRADJAJA

ASTORIA, NY
NPI1659024867
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: NY  011692)
Enumeration Date2022-01-27
Last Update Date2022-01-27
Business Address
ELLYA INDRADJAJA LMHC
3089 31ST ST APT 1
ASTORIA, NY 11102-1975
Phone number: 646-377-9724
Mailing Address
ELLYA INDRADJAJA LMHC
3089 31ST ST APT 1
ASTORIA, NY 11102-1975
Phone number: 646-377-9724
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