Organization
PENINSULA COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE COOKE L.M.S.W. (PSYCHOTHERAPIST)
(516) 569-6600
Entity
Organization
Contact information
Practice address
50 W HAWTHORNE AVE, VALLEY STREAM, NY 11580-6220
(516) 569-6600
Mailing address
50 W HAWTHORNE AVE, VALLEY STREAM, NY 11580-6220
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
069801-1
NY
Other
Enumeration date
04/29/2014
Last updated
08/01/2014
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