Individual
CHRISTOPHER PACIFICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2580 OCEAN PKWY APT 5K, BROOKLYN, NY 11235-7734
(917) 607-2764
Mailing address
2580 OCEAN PKWY APT 5K, BROOKLYN, NY 11235-7734
(917) 607-2764
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001394
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001394
NEW YORK STATE
NY
Enumeration date
06/07/2021
Last updated
06/07/2021
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