Individual
MISS CAROLINE GRACE O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, CASAC-P
Contact information
Practice address
368 VETERANS MEMORIAL HWY STE 3, COMMACK, NY 11725-4322
(631) 533-0315
Mailing address
368 VETERANS MEMORIAL HWY STE 3, COMMACK, NY 11725-4322
(631) 533-0315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
015859
NY
Other
Enumeration date
04/11/2024
Last updated
03/17/2025
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