Individual
MR. CARLOS DETOUCHE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
(646) 201-0966
Mailing address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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