Individual provider · Type 1 NPI
Nicolette Rose Illiano
Mental Health Counselor · Long Beach, NY
NPI number
1699597559
Active
Practice location
20 W Park Ave
Long Beach, NY 11561-2033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1699597559
Nicolette Rose Illiano's National Provider Identifier is 1699597559, issued on Oct 30, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Long Beach, NY. The record was last updated on Oct 30, 2024.