Organization
BLUE HAVEN CONFIDENTIAL COUNSELING AND PSYCHOTHERAPY SERVICES LCSW P.C
Active
Organization
BLUE HAVEN CONFIDENTIAL COUNSELING AND PSYCHOTHERAPY SERVICES LCSW P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOROTHY FRAZIER LCSW-R (DIRECTOR)
(718) 415-3832
Entity
Organization
Contact information
Practice address
6143 186TH ST, FRESH MEADOWS, NY 11365-2710
(347) 506-3986
(718) 475-2122
Mailing address
20417 HILLSIDE AVE, SUITE 309, HOLLIS, NY 11423-2213
(347) 506-3968
(718) 475-2122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R0383781
NY
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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