Individual
MS. ADRIENNE NICOLE LICARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
249 EAST MAIN STREET, SUITE #3, EAST SETAUKET, NY 11766-2919
(631) 406-3139
Mailing address
249 EAST MAIN STREET, SUITE #3, EAST SETAUKET, NY 11733-2919
(631) 406-3139
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R056808
NY
Other
Enumeration date
06/29/2012
Last updated
10/02/2018
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