Provider Demographics
NPI:1093266249
Name:MARANGON, MONICA (LMHC)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:MARANGON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:884 RIVERSIDE DR
Mailing Address - Street 2:APT 1H1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-5460
Mailing Address - Country:US
Mailing Address - Phone:415-505-8374
Mailing Address - Fax:
Practice Address - Street 1:884 RIVERSIDE DR
Practice Address - Street 2:APT 1H1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-5460
Practice Address - Country:US
Practice Address - Phone:415-505-8374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-21
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007358101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health