Individual
MICHELLE SIRIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
237 NEW RIVER DR STE 3, JACKSONVILLE, NC 28540-5935
(910) 333-1031
(910) 333-1108
Mailing address
PO BOX 7, JACKSONVILLE, NC 28541-0007
(412) 552-0572
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11776
NC
101YP2500X
Professional Counselor
Primary
PC006485
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114277027
BLUE CROSS BLUE SHIELD
NC
Enumeration date
09/18/2012
Last updated
08/21/2024
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