Individual provider · Type 1 NPI
Stuart Nicodemos Caban-Siegel, L.M.H.C.
Mental Health Counselor · New York, NY
NPI number
1700107794
Active
Practice location
171 Madison Ave, Suite 400
New York, NY 10016-5110
Mailing address
171 Park Avenue South, Suite 400
New York, NY 10016-5153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 003398 (NY) |
| Pastoral Counselor | 101YP1600X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1700107794
Stuart Nicodemos Caban-Siegel, L.M.H.C.'s National Provider Identifier is 1700107794, issued on Jun 14, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Sep 25, 2012.