Provider Demographics
NPI:1346963204
Name:CARRION DURAN, ESTEFANY (LMHC, CASAC-T)
Entity Type:Individual
Prefix:MRS
First Name:ESTEFANY
Middle Name:
Last Name:CARRION DURAN
Suffix:
Gender:F
Credentials:LMHC, CASAC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 47TH ST APT B10
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-2313
Mailing Address - Country:US
Mailing Address - Phone:914-356-7187
Mailing Address - Fax:
Practice Address - Street 1:880 47TH ST APT B10
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-2313
Practice Address - Country:US
Practice Address - Phone:914-356-7187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012776-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty