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Organization
ESSENTIAL COUNSELING WELLNESS LCSW PLLC
Active
Organization
ESSENTIAL COUNSELING WELLNESS LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH DOUGLAS BLACKBURN LCSW-R (CEO/THERAPIST)
(347) 460-1305
Entity
Organization
Contact information
Practice address
99 WALL ST STE 580, NEW YORK, NY 10005-4301
(917) 405-6352
(646) 767-0539
Mailing address
583 5TH ST, BROOKLYN, NY 11215-3503
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
09/06/2022
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