Individual
MICHAEL ANAVIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
7410 35 AVE SUITE 107W, JACKSON HEIGHTS, NY 11372
(718) 672-1538
Mailing address
7410 35TH AVE APT 107W, JACKSON HEIGHTS, NY 11372-8105
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
009116
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009116
LICENSE REGISTRATION
NY
Enumeration date
11/06/2018
Last updated
11/06/2018
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