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
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 - ClinicalClinical

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