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Organization
OPEN DOOR MENTAL HEALTH COUNSELING P.C.
Active
Organization
OPEN DOOR MENTAL HEALTH COUNSELING P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY COVER (CREDENTIALING SPECIALIST)
(617) 229-6149
Entity
Organization
Contact information
Practice address
940 ROANOKE AVE, RIVERHEAD, NY 11901-2749
(631) 680-7005
Mailing address
940 ROANOKE AVE, RIVERHEAD, NY 11901-2749
(631) 680-7005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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