Gina Ann Condurso, LCSW

NPI #1518201011 in Bohemia, New York

Provider Information

NPI Number: 1518201011
Entity Type: Individual
Name: Gina Ann Condurso, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LCSW
Enumeration Date: Nov 21, 2012
Last Updated: Nov 21, 2012

Practice Location

Address: 1650 SYCAMORE AVE
Address 2: SUITE 39
City: Bohemia
State: New York
ZIP Code: 11716-1738
Phone: (631) 758-8290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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