Individual
IRENE SUZANNE YANNIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
499 JERUSALEM AVE, HICKSVILLE, NY 11801-5529
(516) 433-7681
Mailing address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3511
(516) 433-7681
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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