Individual
KRISTINE MENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
1650 SYCAMORE AVE STE 39, BOHEMIA, NY 11716-1736
(631) 758-8290
Mailing address
161 DANIEL RD N APT 2, NORTH MASSAPEQUA, NY 11758-1919
(631) 521-3182
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
002899
NY
221700000X
Art Therapist
002899
NY
Other
Enumeration date
11/27/2023
Last updated
02/26/2025
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