Individual
NICOLE OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
130 ATLANTIC AVE, LONG BEACH, NY 11561-3805
(516) 780-5369
Mailing address
226 E 52ND ST, NEW YORK, NY 10022-6201
(212) 712-8800
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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