Individual
MRS. JUSTINA COLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 LEONARD LN, CENTEREACH, NY 11720-2753
(631) 471-7301
(631) 979-5867
Mailing address
1 LEONARD LN, CENTEREACH, NY 11720-2753
(631) 471-7301
(631) 979-5867
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
RO38170
NY
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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