Individual
ALESSANDRA LICUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1410 UTOPIA PKWY, WHITESTONE, NY 11357-2930
(917) 531-6973
Mailing address
1410 UTOPIA PKWY, WHITESTONE, NY 11357-2930
(917) 531-6973
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
015701-01
NY
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
01/19/2026
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