Individual
DANIELLE LEE RUQUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
44210 RT. 48 NORTH ROAD, SOUTHOLD, NY 11971
(631) 294-5299
Mailing address
7 CHAPEL PL, EAST PATCHOGUE, NY 11772-5711
(631) 294-5299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
009169
NY
Other
Enumeration date
11/28/2018
Last updated
12/04/2019
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