Individual provider · Type 1 NPI

Marina Themistocleous, MHC-LP

Mental Health Counselor · New York, NY

NPI number 1790360824 Active

Practice location

19 Union Sq W Fl 7
New York, NY 10003-3304

Fax (212) 627-4040

Mailing address

6001 171st St
Fresh Meadows, NY 11365-1509

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1790360824

Marina Themistocleous, MHC-LP's National Provider Identifier is 1790360824, issued on Mar 10, 2021. 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 Mar 10, 2021.