Individual
DR. JOHN MICHAEL MICHNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LMHC
Contact information
Practice address
2904 201ST ST, BAYSIDE, NY 11360-2323
(914) 471-6832
Mailing address
2904 201ST ST, BAYSIDE, NY 11360-2323
(914) 471-6832
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4901
MA
103TC0700X
Clinical Psychologist
022114
NY
103TC1900X
Counseling Psychologist
Primary
022114
NY
Other
Enumeration date
10/12/2006
Last updated
09/26/2018
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