Individual provider · Type 1 NPI

Madison Lock, CMHC

Mental Health Counselor · Staten Island, NY

NPI number 1174173264 Active

Practice location

285 Vanderbilt Ave
Staten Island, NY 10304-2525

Call (718) 981-4382 Map

Fax (718) 981-2054

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174173264

Madison Lock, CMHC's National Provider Identifier is 1174173264, issued on Sep 19, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Staten Island, NY. The record was last updated on Sep 19, 2019.