Individual
AUGUST THILBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W MAIN ST, RIVERHEAD, NY 11901-2813
(631) 369-0104
Mailing address
50 WASHINGTON HEIGHTS AVE, HAMPTON BAYS, NY 11946-1324
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NY
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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