Individual
CANDICE ELIZABETH GRELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
30 E 60TH ST RM 208, NEW YORK, NY 10022-7135
(212) 847-0144
(212) 847-0144
Mailing address
PO BOX 142, SCARSDALE, NY 10583-0142
(914) 441-8199
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001887
NY
101YS0200X
School Counselor
—
NY
103K00000X
Behavior Analyst
—
NY
106S00000X
Behavior Technician
—
NY
174400000X
Specialist
—
NY
208D00000X
General Practice Physician
001887
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001887
NYS OFFICE OF THE PROFESSIONS LMHC
NY
Enumeration date
05/02/2019
Last updated
05/02/2019
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