SearchNew York101YM0800X

Ellya Indradjaja, LMHC

NPI 1659024867 · on the registry since 2022 · sole proprietor

Practice

Address
3089 31st St Apt 1
Astoria, NY 11102
Phone
(646) 377-9724

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-27

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