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Organization
CJM COUNSELING LICENSED CLINICAL SOCIAL WORKERS P.C.
Active
Organization
CJM COUNSELING LICENSED CLINICAL SOCIAL WORKERS P.C.
Active
Other names
CJM Counseling Licensed Clinical social workers P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN MARIE RYAN LICENSED CLINICAL SO (OFFICER)
(631) 252-5740
Entity
Organization
Contact information
Practice address
145 HIGBIE LN, WEST ISLIP, NY 11795-3236
(631) 252-5740
(631) 743-6625
Mailing address
127 GATELOT AVE, LAKE RONKONKOMA, NY 11779-2266
(631) 252-5740
(631) 743-9983
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
077909
NY
101YP2500X
Professional Counselor
077909
NY
102L00000X
Psychoanalyst
077909
NY
103K00000X
Behavior Analyst
077909
NY
104100000X
Social Worker
077909
NY
1041C0700X
Clinical Social Worker
Primary
077909
NY
106H00000X
Marriage & Family Therapist
077909
NY
Other
Enumeration date
06/05/2014
Last updated
09/18/2014
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