person
Mrs. Jessica Cohen Micciulli, LMHC
Mental Health Counselor in Bethpage, New York
NPI 1215390240

Jessica Cohen Micciulli is a Mental Health Counselor based in Bethpage, NY and is specialized in Mental Health. Jessica Cohen Micciulli practices in Bethpage, NY and has the professional credentials of LMHC. The NPI Number for Jessica Cohen Micciulli is 1215390240 and holds a License No. 006998-1 (New York).

The current practice location address for Jessica Cohen Micciulli is 1211 Stewart Ave., Bethpage, NY and can be reached out via phone at 516-465-3998 and via fax at 212-531-3431.

Location: 1211 Stewart Ave., Bethpage, NY, 11714
person
Provider Profile Details
NPI Number
1215390240
Provider Name
Jessica Cohen Micciulli
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
1211 Stewart Ave., Bethpage, NY, 11714
Phone Number
516-465-3998
Fax Number
212-531-3431
Provider Enumeration Date
03/29/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1211 Stewart Ave.
City
State
Zip
11714
Phone Number
516-465-3998
Fax Number
212-531-3431
person
Provider Business Mailing Address Details
Address
1211 Stewart Ave.
City
State
Zip
11714
Phone Number
516-465-3998
Fax Number
212-531-3431
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
006998-1 (New York)
Definition
Definition to come...
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