Individual
CHRISTINA MICKALAUSKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6620 GRAND AVE APT 2, MASPETH, NY 11378-2531
(516) 387-6462
Mailing address
6620 GRAND AVE APT 2, MASPETH, NY 11378-2531
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
12/07/2022
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