Individual
COURTNEY JEAN MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
11 FARBER DRIVE, BELLPORT, NY 11713
(631) 286-0700
(631) 286-0688
Mailing address
11 FARBER DR, BELLPORT, NY 11713-1500
(631) 286-0700
(631) 286-0688
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
007166
NY
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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