SearchNew York1041C0700X

La'Draya Macon, LCSW, CASAC

NPI 1497020440 · on the registry since 2012

Practice

Address
27a Washington Pl
Roosevelt, NY 11575
Phone
(516) 623-7741
Clinicians at this address
4

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
101YA0400X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-05-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York