Individual
MRS. COLLEEN J MUCICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5780 MAIN ST, WILLIAMSVILLE, NY 14221-5702
(716) 523-0210
(716) 634-6236
Mailing address
5780 MAIN ST, WILLIAMSVILLE, NY 14221-5702
(716) 523-0210
(716) 634-6236
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0002881
NY
Other
Enumeration date
02/15/2007
Last updated
11/04/2011
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