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Organization
QUEENS/LONG ISLAND COUNSELING SERVICES
Active
Organization
QUEENS/LONG ISLAND COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE D PEARCE (MHC)
(516) 993-6815
Entity
Organization
Contact information
Practice address
168 CONNECTICUT AVE, FREEPORT, NY 11520-1531
(516) 993-6815
Mailing address
4343 BOWNE ST, FLUSHING, NY 11355-3039
(516) 993-6815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P95482
NY
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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