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General NPI Number Information
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NPI Number | 1881468213
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Entity Type | Organization
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Legal Business Name | LETICIA VITUCCI, LICENSED MENTAL HEALTH COUNSELOR, P.C.
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 395 N SERVICE RD
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City | MELVILLE
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State | NY
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Zip | 11747-3139
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Country | US
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Telephone | 316-433-4497
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 200
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City | RIDGE
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State | NY
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Zip | 11961-0200
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Country | US
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Telephone | 631-433-4497
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | MS. LETICIA VITUCCI
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Credential | LMHC
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Telephone | 631-433-4497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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