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

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X003398 (NY)
Pastoral Counselor 101YP1600XNone listed

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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.