Individual provider · Type 1 NPI

Traceyann Nicola Lilly

Mental Health Counselor · Jamaica, NY

NPI number 1316609191 Active

Practice location

9114 Merrick Blvd
Jamaica, NY 11432-5363

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1316609191

Traceyann Nicola Lilly's National Provider Identifier is 1316609191, issued on Oct 9, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jamaica, NY. The record was last updated on Oct 9, 2021.