Individual
CLAYTON CONANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 N OCEAN AVE, FREEPORT, NY 11520-3074
(516) 506-3273
Mailing address
1976 GRAND AVE, NORTH BALDWIN, NY 11510-2813
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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