Organization
CHANGING SEASONS COUNSELING LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO EDGARDO BELTRAN JR. LCSW (CLINICAL SOCIAL WORKER)
(631) 575-3435
Entity
Organization
Contact information
Practice address
425 OLD TOWN RD, PORT JEFFERSON STATION, NY 11776-3627
(631) 209-7042
Mailing address
425 OLD TOWN RD, PORT JEFFERSON STATION, NY 11776-3627
(631) 209-7042
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
10/01/2023
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