Individual
ANTONIO SICILIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1151 MICHIGAN AVE STE 122, EAST LANSING, MI 48823-4072
(269) 350-3470
Mailing address
1151 MICHIGAN AVE STE 122, EAST LANSING, MI 48823-4072
(269) 350-3470
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
6801114044
MI
156F00000X
Technician/Technologist
—
—
Other
Enumeration date
06/13/2018
Last updated
03/11/2026
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