Individual provider · Type 1 NPI
Jessica Mirabello, LMHC
Mental Health Counselor · Farmingdale, NY
NPI number
1477060374
Active
Practice location
500 Bi County Blvd Ste 450
Farmingdale, NY 11735-3995
Mailing address
776 Rathbun Ave
Staten Island, NY 10309-2409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 37PC01065500 (NJ) |
| Mental Health Counselor Primary | 101YM0800X | 004593 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1477060374
Jessica Mirabello, LMHC's National Provider Identifier is 1477060374, issued on Jan 2, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Farmingdale, NY. The record was last updated on Sep 27, 2024.