Most Relevant Information
Provider Data
| NPI Number: | 1003530601 |
| Provider Name: | MARY ELIZABETH DIGIOVANNA LMHC, NCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 010207 |
Most Important Dates
| Enumeration Date: | 09/28/2022 |
| Last Updated: | 09/28/2022 |
Provider Practice Location
31 STATE ST
TULLY
NY
131593218
Practice Location Phone/Fax
| Phone: | 6074234831 |
| Fax: |
Provider Mailing Location
31 STATE ST
TULLY
NY
131593218
Provider Mailing Phone/Fax
| Phone: | 6074234831 |
| Fax: |