| Doctor Name: | DR. JOHN MICHAEL MICHNA |
| NPI Number: | 1043309537 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMHC,PHD |
| License Number: | 4901 |
| Business Practice Address: | 400 South Oyster Bay Rd Suite204 Hicksville, NY - 11801 |
| Business Phone Number: | 5168188383 |
| Business Fax Number: | |
| Mailing Address: | 4027 196th St, 2nd Fl FLUSHING |
| State: | NY |
| Postal Code: | 113583027 |
| Phone Number: | 9144716832 |
| Fax Number: | |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 04/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 4901 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |