Individual provider · NPI-1

Kristina Deluccia

Counselor, Mental Health · Pearl River, NY

NPI number1568889368
StatusActive
Last updated in NPPESJul 25, 2023

Details

NPI
1568889368
Entity type
Individual (NPI-1)
Name
Kristina Deluccia
Sex
Female
Sole proprietor
No
Enumeration date
Mar 19, 2014
Certification date
Jul 25, 2023
Last updated
Jul 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health–NYYes
101YM0800X Counselor, Mental Health012681NY

Practice location

64 Oriole St
Pearl River, NY 10965-2712

Phone 134-773-3629

Mailing address

64 Oriole St
Pearl River, NY 10965-2712

Phone 134-773-3629

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