Organization
LCSW PSYCHOTHERAPY, PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN PAUL MCQUEEN LCSW (PRESIDENT/OWNER)
(347) 244-7258
Entity
Organization
Contact information
Practice address
813 MAPLE ST FL 2, BROOKLYN, NY 11203-1312
(347) 244-7258
(718) 940-4610
Mailing address
813 MAPLE ST, BROOKLYN, NY 11203-1312
(347) 244-7258
(718) 940-4610
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
R042761-1
NY
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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