Individual
CATHERINE ASA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 ROUTE 111, SMITHTOWN, NY 11787-3754
(631) 394-8890
Mailing address
11 ROUTE 111, SMITHTOWN, NY 11787-3754
(631) 394-8890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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