Individual
ANGELA LUCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3375 PARK AVE, SUITE 3007, WANTAGH, NY 11793-3733
(844) 386-5636
(844) 386-5836
Mailing address
3375 PARK AVE, SUITE 3007, WANTAGH, NY 11793-3733
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005725
NY
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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