Provider Demographics
NPI:1932395357
Name:VOUGIOUKAS-TSEKENIS, DESPINA (LMHC, CRC, CASAC)
Entity Type:Individual
Prefix:MRS
First Name:DESPINA
Middle Name:
Last Name:VOUGIOUKAS-TSEKENIS
Suffix:
Gender:F
Credentials:LMHC, CRC, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 HAGAN CT
Mailing Address - Street 2:
Mailing Address - City:SPARKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10976-1112
Mailing Address - Country:US
Mailing Address - Phone:646-479-7504
Mailing Address - Fax:845-365-5232
Practice Address - Street 1:13 HAGAN CT
Practice Address - Street 2:
Practice Address - City:SPARKILL
Practice Address - State:NY
Practice Address - Zip Code:10976-1112
Practice Address - Country:US
Practice Address - Phone:646-479-7504
Practice Address - Fax:845-365-5232
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003627-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health