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Organization

CLEARWATER COUNSELING ASSOCIATES LCSW, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULES JASON CANEZ LCSWR (CEO)
(845) 490-7277
Entity
Organization

Contact information

Practice address
10 BEADART PL, HYDE PARK, NY 12538-1218
(845) 490-7277
(845) 868-3124
Mailing address
10 BEADART PL, HYDE PARK, NY 12538-1218
(845) 490-7277
(845) 868-3124

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
071192
NY

Other

Enumeration date
06/20/2016
Last updated
04/23/2026
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