Individual
CHARLIE NICELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
MHC-LP
Contact information
Practice address
315 5TH AVE RM 706, NEW YORK, NY 10016-6590
(347) 633-1971
Mailing address
315 5TH AVE RM 706, NEW YORK, NY 10016-6590
(347) 633-1971
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
015479
NY
Other
Enumeration date
04/01/2022
Last updated
12/12/2024
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