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Organization
ST. RAPHAEL MENTAL HEALTH COUNSELING, PC
Active
Organization
ST. RAPHAEL MENTAL HEALTH COUNSELING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON RICCIARDI L.M.H.C. (PRESIDENT)
(631) 923-2777
Entity
Organization
Contact information
Practice address
10 E 16TH ST, HUNTINGTON STATION, NY 11746-2911
(631) 923-2777
(631) 923-2777
Mailing address
PO BOX 1276, HUNTINGTON, NY 11743-0657
(631) 923-2777
(631) 923-2777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002607-1
NY
Other
Enumeration date
12/16/2012
Last updated
03/25/2014
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