Individual
ATHENA ALEXANDRA KOUSPIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC-LP
Contact information
Practice address
65 AIR PARK DR STE 10, RONKONKOMA, NY 11779-7374
(631) 533-0315
(855) 752-5170
Mailing address
368 VETERANS MEMORIAL HWY STE 3, COMMACK, NY 11725-4322
(631) 533-0315
(855) 752-5170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
133596
NY
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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