Crescent Light Counseling, Lcsw, Pllc
NPI #1275280620 in Port Jefferson, New York
Provider Information
- NPI Number
- 1275280620
- Entity Type
- Organization
- Organization Name
- Crescent Light Counseling, Lcsw, Pllc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Mar 6, 2022
- Last Updated
- Mar 28, 2022
Practice Location
- Address
- 646 MAIN ST STE 102
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-2230
- Phone
- (631) 772-9395
Authorized Official
- Name
- MS. TAYLOR SCHULTZ, LCSW
- Title
- MANAGER/OWNER
- Phone
- (631) 617-3696
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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