Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 106803-01 | NY |
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 106803-01 | NY |
Y | 101YM0800X | Mental Health Counselor | 106803-01 | NY |
N | 101YP1600X | Pastoral Counselor | 106803-01 | NY |
N | 101YP2500X | Professional Counselor | 106803-01 | NY |
NPI | 1316553753 |
---|---|
Provider Name | Mr. Peter J Stieglmayr |
First Address | Forest Hills, NY 11375-1508 |
Second Address | Long Island City, NY 11106-5121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2020 |
Last Update Date | 21/09/2020 |