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Organization
COUNSELING CONNECTIONS COMMUNITY CENTER INC
Active
Organization
COUNSELING CONNECTIONS COMMUNITY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE ESP (VICE)
(631) 793-8411
Entity
Organization
Contact information
Practice address
468 MAIN ST, MASTIC BEACH, NY 11951-3407
(631) 484-7668
Mailing address
468 MAIN ST, MASTIC BEACH, NY 11951-3407
(631) 484-7668
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
05/26/2026
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