Cerulean Willow Mental Health Counseling Pllc
NPI #1427749688 in Port Jefferson, New York
Provider Information
- NPI Number
- 1427749688
- Entity Type
- Organization
- Organization Name
- Cerulean Willow Mental Health Counseling Pllc
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- May 18, 2023
- Last Updated
- Oct 24, 2023
Practice Location
- Address
- 1227 MAIN ST STE 302
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-2227
- Phone
- (631) 512-3079
Authorized Official
- Name
- DAISY DENISE RODRIGUEZ, LMHC
- Title
- FOUNDER
- Phone
- (631) 512-3079
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
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