Individual provider · Type 1 NPI

Samantha Ciccarelli

Mental Health Counselor · Buffalo, NY

NPI number 1932405727 Active

Practice location

1131 Broadway St
Buffalo, NY 14212-1501

Fax (716) 896-7717

Mailing address

1526 Walden Ave Ste 400
Cheektowaga, NY 14225-4985

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X005542 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1932405727

Samantha Ciccarelli's National Provider Identifier is 1932405727, issued on Jan 27, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Buffalo, NY. The record was last updated on Oct 9, 2014.