Nicole Marie Buffolino, LMHC
Counselor, Mental Health in Wantagh, NY. Individual provider (NPI-1).
NPI number1912435504
StatusActive
Last updated in NPPESJun 20, 2019
Details
- NPI
- 1912435504
- Entity type
- Individual (NPI-1)
- Name
- Nicole Marie Buffolino
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 26, 2017
- Last updated
- Jun 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 007902 | NY | Yes |
Practice location
3330 Park AveWantagh, NY 11793-3719
Phone 516-730-3447
Mailing address
73 Crest Rd WMerrick, NY 11566-1412
Other practice locations
201 N Delaware Ave
Massapequa, NY 11758-1869
Massapequa, NY 11758-1869
Phone 516-753-3691
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All 69 Mental Health Counselor providers in Wantagh · All 879 providers in Wantagh
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