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NPI Code Detail

MEDICARE: DR. CHRISTINA L. MIGLIARA LMFT, MAC, CAP

MEDICARE: DR. CHRISTINA L. MIGLIARA LMFT, MAC, CAP
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
1101YA0400XAddiction (Substance Use Disorder) Counselor23196NY
2101YA0400XAddiction (Substance Use Disorder) CounselorCAP100010FL
3106H00000XMarriage & Family Therapist000781NY
4106H00000XMarriage & Family TherapistMT3171FL

General Provider Information

NPI Number : 1619207826
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINA L. MIGLIARA LMFT, MAC, CAP
Provider Business Mailing Address
First Line : 436 W MAIN ST
Second Line :
City : PATCHOGUE
State : NY
Zip : 11772-3067
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4651 SALISBURY RD STE 400
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-6187
Country : US
Telephone Number : 904-540-3898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2010
Last Update Date : 07/18/2017

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