Nicolette Rose Illiano
Nicolette Rose Illiano is a Mental Health Counselor in Long Beach, New York. Licensed in New York. Registered with an NPI since 2024.
- Licensed in
- NY
- In the registry since
- 2024
Practice location Address checks out
20 W Park AveLong Beach, NY 11561-2033
Phone: (646) 280-9244
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (NY) |
|---|
Record details
| NPI number | 1699597559 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 30, 2024 |
| Last updated in NPPES | October 30, 2024 |
| Certification date | October 30, 2024 |
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