| Christine A Knapp Mental Health Counselor Pc | |
|
143 Willis Ave Mineola NY 11501-2610 | |
| (516) 739-0727 | |
| Not Available |
| Full Name | Christine A Knapp Mental Health Counselor Pc |
|---|---|
| Speciality | Counselor |
| Location | 143 Willis Ave, Mineola, New York |
| Authorized Official Name and Position | Christine Knapp (OWNER) |
| Authorized Official Contact | 5167390727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christine A Knapp Mental Health Counselor Pc 143 Willis Ave Mineola NY 11501-2610 Ph: (516) 739-0727 | Christine A Knapp Mental Health Counselor Pc 143 Willis Ave Mineola NY 11501-2610 Ph: (516) 739-0727 |
| NPI Number | 1194598516 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Medicare PECOS PAC ID | 6406292507 |
|---|---|
| Medicare Enrollment ID | O20240312001171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194598516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Christine Knapp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346602067 PECOS PAC ID: 0941646046 Enrollment ID: I20240402000533 |
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