Social Work for Counseling for Inspirational Living Lcsw PC
NPI #1164757787 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1164757787
- Entity Type
- Organization
- Organization Name
- Social Work for Counseling for Inspirational Living Lcsw PC
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Oct 15, 2009
- Last Updated
- May 16, 2019
Practice Location
- Address
- 6 ROOSEVELT AVE STE 2
- State
- New York
- ZIP Code
- 11776-3364
- Phone
- (631) 474-1533
Authorized Official
- Name
- MR. KENNETH G. LENT, LCSW
- Title
- OWNER
- Phone
- (631) 474-1533
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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