Individual
MICHELLE MARIE FORNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHCI
Contact information
Practice address
2-12 W PARK AVE, SUITE 200, LONG BEACH, NY 11561-2025
(516) 889-2332
Mailing address
2-12 W PARK AVE, SUITE 200, LONG BEACH, NY 11561-2025
(516) 889-2332
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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