Vivian M Roque-Balboa
Vivian M Roque-Balboa is a Mental Health Counselor in Bronx, New York. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
579 Courtlandt AveBronx, NY 10451-5013
Phone: (718) 485-2100
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1518626530 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 17, 2021 |
| Last updated in NPPES | June 20, 2022 |
| Certification date | June 20, 2022 |
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