Lighthouse Integrative Counseling Services Lcsw Marriage and Family Th
NPI #1699135566 in Port Jefferson, New York
Provider Information
- NPI Number
- 1699135566
- Entity Type
- Organization
- Organization Name
- Lighthouse Integrative Counseling Services Lcsw Marriage and Family Th
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Mar 4, 2016
- Last Updated
- Mar 4, 2016
Practice Location
- Address
- 414 MAIN ST STE 203A
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-1686
- Phone
- (631) 478-3292
Authorized Official
- Name
- MICHELLE D CONELLI, LCSW, LMFT
- Title
- FOUNDER/DIRECTOR
- Phone
- (631) 478-3292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
| Social Worker - Clinical — Clinical |
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