Provider Demographics
NPI:1740515667
Name:HABER, RICARDO E (LMHC)
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:E
Last Name:HABER
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7409 37TH AVE
Mailing Address - Street 2:SUITE 408
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-6300
Mailing Address - Country:US
Mailing Address - Phone:718-779-2263
Mailing Address - Fax:718-779-2225
Practice Address - Street 1:7409 37TH AVE
Practice Address - Street 2:SUITE 408
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-6300
Practice Address - Country:US
Practice Address - Phone:718-779-2263
Practice Address - Fax:718-779-2225
Is Sole Proprietor?:No
Enumeration Date:2009-10-09
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP71746101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health