Organization
FRESH START COUNSELING, LCSW, PC
Active
Other names
Fresh Start Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANNE DOUGHTY LCSW (CLINICAL DIRECTOR/CEO)
(631) 307-9797
Entity
Organization
Contact information
Practice address
444 W. MAIN ST, PATCHOGUE, NY 11772-3012
(631) 307-9797
(631) 307-9797
Mailing address
444 W. MAIN ST, PATCHOGUE, NY 11772-3012
(631) 307-9797
(631) 307-9797
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
082316
NY
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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