Eastern Suffolk Counseling Lcsw Pllc
NPI #1639529266 in Saint James, New York
Provider Information
- NPI Number
- 1639529266
- Entity Type
- Organization
- Organization Name
- Eastern Suffolk Counseling Lcsw Pllc
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 14, 2016
- Last Updated
- Jun 14, 2016
Practice Location
- Address
- 551 N COUNTRY RD
- Address 2
- SUITE 203
- City
- Saint James
- State
- New York
- ZIP Code
- 11780-1445
- Phone
- (631) 504-2102
Authorized Official
- Name
- DR. RICHARD GIRARD-DOMENA, ED.D., LCSW-R
- Title
- CLINICAL DORECTOR
- Phone
- (631) 504-2102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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