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Organization
NORTH SHORE ADDICTION AND MENTAL HEALTH COUNSELING SERVICES, PLLC
Active
Organization
NORTH SHORE ADDICTION AND MENTAL HEALTH COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LARSEN-KRUGMAN LMHC, CASAC (OWNER)
(631) 780-5752
Entity
Organization
Contact information
Practice address
21 REDWOOD LN, SMITHTOWN, NY 11787-2718
(631) 780-5752
(631) 321-1005
Mailing address
21 REDWOOD LN, SMITHTOWN, NY 11787-2718
(631) 321-1005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NY
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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