Individual
MS. GRACE R DERIGGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LMFT
Contact information
Practice address
55 NESCONSET HWY, SUITE #3, PORT JEFFERSON STATION, NY 11776-2631
(631) 793-6079
Mailing address
55 NESCONSET HWY, SUITE #3, PORT JEFFERSON STATION, NY 11776-2631
(631) 793-6079
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
002472
NY
106H00000X
Marriage & Family Therapist
Primary
000430
NY
Other
Enumeration date
05/14/2007
Last updated
03/17/2011
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