Individual provider · Type 1 NPI
Marhenra J. Ciccone, M.S., CRC
Mental Health Counselor · Brewerton, NY
NPI number
1417012113
Active
Practice location
8748 Weaver Rd
Brewerton, NY 13029-9690
Fax (315) 699-2925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 002935 (NY) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Brewerton
About NPI 1417012113
Marhenra J. Ciccone, M.S., CRC's National Provider Identifier is 1417012113, issued on Dec 25, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brewerton, NY. The record was last updated on Jul 9, 2007.