Provider Demographics
NPI:1841064177
Name:ASON-DUARTE, KAELA A (LMHC)
Entity type:Individual
Prefix:
First Name:KAELA
Middle Name:A
Last Name:ASON-DUARTE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12325 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLLEGE POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11356-1115
Mailing Address - Country:US
Mailing Address - Phone:347-886-3944
Mailing Address - Fax:
Practice Address - Street 1:12325 5TH AVE
Practice Address - Street 2:
Practice Address - City:COLLEGE POINT
Practice Address - State:NY
Practice Address - Zip Code:11356-1115
Practice Address - Country:US
Practice Address - Phone:347-886-3944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-07
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP122467101YM0800X
NY015891101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health