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Organization

MY QUIET PLACE, MENTAL HEALTH COUNSELING P.C.

Active
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Organization

MY QUIET PLACE, MENTAL HEALTH COUNSELING P.C.

Active
Other names
Eclectic Psychotherapy Group
Organization subpart
No

Provider details

NPI number
Authorized official
MARINA KRUGOLETS LMHC (CLINICAL DIRECTOR)
(917) 920-3411
Entity
Organization

Contact information

Practice address
115 GRAHAM BLVD APT A, STATEN ISLAND, NY 10305-4005
(917) 920-3411
Mailing address
115 GRAHAM BLVD APT A, STATEN ISLAND, NY 10305-4005
(917) 920-3411

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—

Other

Enumeration date
10/23/2020
Last updated
10/23/2020
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