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Organization
FAMILY INTEGRATED CONSULTING AND RESOURCES, INC
Active
Organization
FAMILY INTEGRATED CONSULTING AND RESOURCES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA HENDRICKSON DAVID HENDRICKSON LCSW (OWNER)
(631) 838-7183
Entity
Organization
Contact information
Practice address
1394 ROANOKE AVE STE A, RIVERHEAD, NY 11901-2100
(631) 838-7183
Mailing address
1394 ROANOKE AVE STE A, RIVERHEAD, NY 11901-2100
(631) 838-7183
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
365022680
AETNA, BEACON HEALTH OPTIONS, UNITED HEALTH CARE, SEU 1199, GEHA, ALLIED HEALTH
NY
Enumeration date
11/29/2018
Last updated
11/29/2018
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