Individual
CRISTI RICCIO KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
431 BEACH 136TH ST, BELLE HARBOR, NY 11694-1325
(917) 449-4776
Mailing address
431 BEACH 136TH ST, BELLE HARBOR, NY 11694-1325
(917) 449-4776
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001820
NY
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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