Individual
CAROL CIANCUTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPMHC
Contact information
Practice address
25 AVENUE D, NEW YORK, NY 10009-6935
(646) 395-4064
Mailing address
1280 5TH AVE APT 6E, NEW YORK, NY 10029-7804
(212) 663-0832
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11400
NY
101YM0800X
Mental Health Counselor
Primary
P11400
NY
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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