Individual provider · Type 1 NPI
Crystal Nicosia, LMHC
Mental Health Counselor · Longwood, FL
NPI number
1619257953
Active
Practice location
165 Sabal Palm Dr Ste 109
Longwood, FL 32779-2591
Mailing address
165 Sabal Palm Drive. Ste. 109
Longwood, FL 32779
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor Primary | 101YM0800X | MH 10789 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1619257953
Crystal Nicosia, LMHC's National Provider Identifier is 1619257953, issued on Aug 18, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Longwood, FL. The record was last updated on May 3, 2017.