Individual
MS. CHRISTINE M MICELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
305 N SERVICE RD, DIX HILLS, NY 11746-5857
(631) 676-2641
Mailing address
305 N SERVICE RD, DIX HILLS, NY 11746-5857
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004785
NY
Other
Enumeration date
02/01/2013
Last updated
05/17/2016
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