Individual
CARLEN RAQUEL HICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 W 183RD ST APT 1B, BRONX, NY 10453-1107
(646) 407-5872
Mailing address
102 W 183RD ST APT 1B, BRONX, NY 10453-1107
(646) 407-5872
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011712
NY
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244371
—
NY
Enumeration date
07/10/2018
Last updated
04/29/2026
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