Individual
MS. ANNA MICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
460 W 34TH ST, NEW YORK, NY 10001-2320
(718) 864-6391
Mailing address
1372 BAY RIDGE AVE APT 2, BROOKLYN, NY 11219-6116
(718) 864-6391
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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