Antonio Siciliano
Technician/Technologist Mental Health Counselor
32100 Telegraph Rd Ste 205
Bingham Farms
, Michigan 48025-2454
Antonio Siciliano
Technician/Technologist Mental Health Counselor
32100 Telegraph Rd Ste 205
Bingham Farms
, Michigan 48025-2454
(269) 343-1651
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About
Features
Specialties
- Mental Health Counselor
- Technician/Technologist
Languages spoken
- English
Location
First Address
- Antonio Siciliano
- 2615 Stadium Dr
- Kalamazoo, MI
- Zip : 49008-1654
- Phone : (269) 343-1651
Second Address
- Antonio Siciliano
- 32100 Telegraph Rd Ste 205
- Bingham Farms, MI
- Zip : 48025-2454
- Phone : (248) 712-4266
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | ||
| N | 156F00000X | Technician/Technologist |
National Provider Identifier
| NPI | 1043703069 |
|---|---|
| Provider Name | Antonio Siciliano |
| First Address | Kalamazoo, MI 49008-1654 |
| Second Address | Bingham Farms, MI 48025-2454 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2018 |
| Last Update Date | 18/12/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.