Individual
MICHELLE S PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3328 164TH ST FL 1, FLUSHING, NY 11358-1442
(718) 354-6738
Mailing address
4003 164TH ST UNIT 580161, FLUSHING, NY 11358-2686
(718) 354-6738
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001312
NY
Other
Enumeration date
03/27/2020
Last updated
01/24/2022
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