Organization · Type 2 NPI
Nicole Pan, Licensed Mental Health Counselor, PLLC
Mental Health Counselor · Amityville, NY
NPI number
1861897803
Active
Practice location
21 Greene Ave, Suite 205
Amityville, NY 11701-2943
Mailing address
PO Box 1245
Farmingdale, NY 11735-0855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 005554 (NY) |
Mental Health Counselor: Definition to come...
2 other providers at this address
Other mental health counselor providers in Amityville
About NPI 1861897803
Nicole Pan, Licensed Mental Health Counselor, PLLC's National Provider Identifier is 1861897803, issued on Nov 4, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Amityville, NY. The record was last updated on May 25, 2015.