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NPI Code Detail

MEDICARE: ANTHONY JOSEPH CUCCIA LPC, NCC

MEDICARE: ANTHONY JOSEPH CUCCIA LPC, NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor8869LA

General Provider Information

NPI Number : 1760124721
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY JOSEPH CUCCIA LPC, NCC
Provider Business Mailing Address
First Line : 2372 SAINT CLAUDE AVE STE 220
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70117-8388
Country : US
Telephone Number : 504-289-4474
Fax Number :
Provider Business Practice Location Address
First Line : 2372 SAINT CLAUDE AVE STE 220
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70117-8388
Country : US
Telephone Number : 504-289-4474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2022
Last Update Date : 08/06/2024

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