Marina Themistocleous, MHC-LP
Counselor, Mental Health in New York, NY. Individual provider (NPI-1).
NPI number1790360824
StatusActive
Last updated in NPPESMar 10, 2021
Details
- NPI
- 1790360824
- Entity type
- Individual (NPI-1)
- Name
- Marina Themistocleous
- Credential
- MHC-LP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2021
- Certification date
- Feb 16, 2021
- Last updated
- Mar 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
19 Union Sq W Fl 7New York, NY 10003-3304
Phone 212-627-9600 · Fax 212-627-4040
Mailing address
6001 171st StFresh Meadows, NY 11365-1509
Phone 917-915-7319
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