Detra S Gillians
Detra S Gillians is a Mental Health Counselor in Bronx, New York. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
3174 Riverdale AveBronx, NY 10463-3839
Phone: (347) 450-6164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1619644754 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 26, 2021 |
| Last updated in NPPES | October 18, 2021 |
| Certification date | October 18, 2021 |
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