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Organization
LANDING MEADOWS MENTAL HEALTH COUNSELING PLLC
Active
Organization
LANDING MEADOWS MENTAL HEALTH COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAUN DIETERICH LMHC (OWNER)
(516) 408-0200
Entity
Organization
Contact information
Practice address
900 WALT WHITMAN ROAD, SUITE LL 4, MELVILLE, NY 11747
(631) 350-2719
(631) 350-2725
Mailing address
101 CLINTON AVE APT 1A, MINEOLA, NY 11501-2848
(516) 408-0200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235400599
SHAUN DIETERICH LMHC
NY
Enumeration date
05/30/2019
Last updated
05/30/2019
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