Organization
SMC COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMINE CHARLES LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(516) 698-5045
Entity
Organization
Contact information
Practice address
1866 FARGO ST, NORTH BALDWIN, NY 11510-2405
(516) 698-5045
Mailing address
1866 FARGO ST, NORTH BALDWIN, NY 11510-2405
(516) 698-5045
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
001431-1
NY
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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