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Organization
INTEGRATED COUNSELING, PLLC
Active
Organization
INTEGRATED COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN WOLL LMHC (OWNER)
(631) 747-2106
Entity
Organization
Contact information
Practice address
1739 N OCEAN AVE STE A, MEDFORD, NY 11763-2683
(631) 747-2106
Mailing address
31 NANTUCKET DR, MEDFORD, NY 11763-4346
(631) 747-2106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/01/2019
Last updated
07/20/2023
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