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NPI Code Detail

MEDICARE: MICHELLE ARIANA RENDON

MEDICARE: MICHELLE ARIANA RENDON
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 Counselor

General Provider Information

NPI Number : 1427987395
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE ARIANA RENDON
Provider Business Mailing Address
First Line : 9518 42ND AVE APT 3B
Second Line :
City : ELMHURST
State : NY
Zip : 11373-8509
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9114 37TH AVE
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-7920
Country : US
Telephone Number : 718-779-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ MICHELLE ARIANA RENDON ” Practice Location

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