# MICHELLE MASSARINI, LICENSED MENTAL HEALTH COUNSELOR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639645724
- **Authorized official:** MRS. MICHELLE E. MASSARINI LMHC (LICENSED MENTAL HEALTH COUNSELOR)
- **Authorized official phone:** (315) 338-4612

## Contact information

- **Practice address:** 1462 LEVANNA RD, UNION SPRINGS, NY 13160-3196
- **Practice address phone:** (321) 355-8355
- **Mailing address:** 1462 LEVANNA RD, UNION SPRINGS, NY 13160-3196
- **Mailing address phone:** (321) 355-8355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/16/2018
- **Last updated:** 10/16/2018