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Organization
SUFFOLK COUNTY THERAPEUTIC COUNSELING,LLC
Active
Organization
SUFFOLK COUNTY THERAPEUTIC COUNSELING,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN STEWART (SOCIAL WORKER CLINICAL)
(631) 747-3201
Entity
Organization
Contact information
Practice address
15 HORSEBLOCK PL, FARMINGVILLE, NY 11738-1204
(631) 854-2571
Mailing address
15 HORSEBLOCK PL, FARMINGVILLE, NY 11738-1204
(631) 854-2571
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851674295
INDIVIDUAL NPI
NY
Enumeration date
03/26/2021
Last updated
03/26/2021
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