MS. Marhenra J Ciccone, M.S., CRC

NPI #1417012113 in Brewerton, New York

Provider Information

NPI Number: 1417012113
Entity Type: Individual
Name: MS. Marhenra J Ciccone, M.S., CRC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: M.S., CRC
Enumeration Date: Dec 25, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 8748 WEAVER RD
City: Brewerton
State: New York
ZIP Code: 13029-9690
Phone: (315) 699-2925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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