Individual
MICHELLE ALICEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 CHURCH ST, WHITE PLAINS, NY 10601-1926
(914) 275-0855
Mailing address
2960 GRAND CONCOURSE APT 3E, BRONX, NY 10458-1906
(718) 552-7969
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
39099
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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